Organization Active NPI

Bridge to Purpose

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
National Provider Identifier
1548182710
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRIDGE TO PURPOSE
Practice address
4207 E Broad St Ste a
Columbus, OH 43213-1200
Phone
(614) 626-1266
Fax
(614) 626-1266
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Moniqua Wallace
Title
Owner
Phone
(614) 626-1266

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

4207 E Broad St Ste a
Columbus, OH 43213-1200

Mailing address

4207 E Broad St Ste a
Columbus, OH 43213-1200
Phone (614) 626-1266

National Provider Directory

National Provider Directory

Locations

4207 E Broad St
Ste A
Whitehall, OH 43213
Phone (614) 884-8880

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1548182710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131200",
            "telephone_number": "614-626-1266",
            "fax_number": "614-626-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131200",
            "telephone_number": "614-626-1266",
            "fax_number": "614-626-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MONIQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-626-1266"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.