NPIMap

Organization Active NPI

Bridging Hope Counseling Services LLC

  • Clinic/Center
  • Buffalo, MN
National Provider Identifier
1508168337
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1894 Issued in MN
Legal business name
BRIDGING HOPE COUNSELING SERVICES LLC
Practice address
311 Brighton Ave S
Suite B
Buffalo, MN 55313-2312
Phone
(763) 291-5505
Fax
(763) 657-0819
NPI assigned
Nov 30, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Heidi Lynn Waldoch, MA
Title
LMFT
Phone
(763) 291-5505

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1894 MN Primary
Adult Mental Health Clinic/Center 261QM0850X 1894 MN
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1894 MN

Addresses

Primary practice location

311 Brighton Ave S
Suite B
Buffalo, MN 55313-2312

Mailing address

21000 Rogers Dr
Suite 200
Rogers, MN 55374-4652
Phone (763) 291-5505

National Provider Directory

National Provider Directory
Tax ID family
Bridging Hope Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 Brighton Ave S
Ste B
Buffalo, MN 55313
Phone (763) 291-5505

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1508168337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 ROGERS DR",
            "address_2": "SUITE 200",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744652",
            "telephone_number": "763-291-5505",
            "fax_number": "763-657-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BRIGHTON AVE S",
            "address_2": "SUITE B",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132312",
            "telephone_number": "763-291-5505",
            "fax_number": "763-657-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING HOPE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "WALDOCH",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "763-291-5505",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1894",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "1894",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "1894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.