Footbridge Counseling and Supervision

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FOOTBRIDGE COUNSELING AND SUPERVISION

Practice address

107 W Main St
Belleville, IL 62220-1501

Phone

(618) 978-2812

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Marti L Baricevic, LCPCNPI 1821496647

Title

Owner

Phone

(618) 978-2823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marti Baricevic, LCPC

  • Marriage & Family Therapist
  • Belleville, IL
  • NPI 1821496647
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1457181471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MARILYN CIR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082853",
            "telephone_number": "618-978-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201501",
            "telephone_number": "618-978-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTBRIDGE COUNSELING AND SUPERVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BARICEVIC",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-978-2823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

• Michael J Fleissner, MD
• Richard Joseph Fleming, PT
• Teri Lynn Fleming, D.C.
• Tiffany Flowers, PT
• Foot Surgery Center LLC
• Beneranda Sophia Ford-Glanton, M.D.
• Rodney Dean Ford Jr., ATC
• Forrest and Associates PLLC
• Four Fountains Convalescent Center
• Kathleen K Fournier, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Belleville, IL
• Providers in Belleville, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.