Organization Active NPI

Oak Bridge Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
National Provider Identifier
1407533417
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OAK BRIDGE COUNSELING, PLLC
Practice address
911 W Loop 281 Ste 316
Longview, TX 75604-2930
Phone
(903) 261-5114
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christyn Eve Jaap, LPCNPI 1821667957
Title
Licensed Professional Counselor
Phone
(903) 261-5114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

911 W Loop 281 Ste 316
Longview, TX 75604-2930

Mailing address

911 W Loop 281 Ste 316
Longview, TX 75604-2930
Phone (903) 261-5114

Other practice location 1

911 W Loop 281 Ste 211-15
Longview, TX 75604-2900
Phone (903) 261-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415004040 TX Part B Supplier - Clinic/Group Practice 5698290328 Receives reassigned benefits from 4 practitioners
Practice locations: Longview, TX

National Provider Directory

National Provider Directory

Locations

911 W Loop 281
Ste 316
Longview, TX 75604
Phone (903) 261-5114

911 W Loop 281
Ste 21115
Longview, TX 75604
Phone (903) 261-5114

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1407533417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281 STE 316",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042930",
            "telephone_number": "903-261-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281 STE 316",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042930",
            "telephone_number": "903-261-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Loop 281 Ste 211-15",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042900",
            "country_code": "US",
            "telephone_number": "903-261-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAK BRIDGE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "JAAP",
        "authorized_official_first_name": "CHRISTYN",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-261-5114",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.