Organization Active NPI

Building Bridges Family Therapy, LTD.

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1518464569
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BUILDING BRIDGES FAMILY THERAPY, LTD.
Practice address
3805 NW Territory Dr
Springfield, IL 62711-8241
Phone
(217) 370-9866
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Angela F Trowbridge, LCSWNPI 1326466996
Title
Owner
Phone
(217) 370-9866

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3805 NW Territory Dr
Springfield, IL 62711-8241

Mailing address

3805 NW Territory Dr
Springfield, IL 62711-8241
Phone (217) 370-9866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191125001183 IL Part B Supplier - Clinic/Group Practice 5193157584 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26408/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1518464569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 NW TERRITORY DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118241",
            "telephone_number": "217-370-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 NW TERRITORY DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118241",
            "telephone_number": "217-370-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES FAMILY THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "TROWBRIDGE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-370-9866",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.