NPIMap

Organization Active NPI

Thebridge Family Therapy LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1487021788
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THEBRIDGE FAMILY THERAPY LLC
Practice address
1900 N 18TH St
Monroe, LA 71201-4432
Phone
(318) 600-6838
NPI assigned
Aug 22, 2015
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Mrs. Kimberly M JohnsonNPI 1306206743
Title
Agency Manager
Phone
(318) 600-6838

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1900 N 18TH St
Monroe, LA 71201-4432

Mailing address

1900 N 18TH St
Monroe, LA 71201-4432
Phone (318) 600-6838

National Provider Directory

National Provider Directory

Locations

1900 N 18th St
Monroe, LA 71201
Phone (318) 600-6838

1900 N 18th St
Ste 217
Monroe, LA 71201
Phone (318) 600-6838

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1487021788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014432",
            "telephone_number": "318-600-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014432",
            "telephone_number": "318-600-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEBRIDGE FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "318-600-6838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.