Bridgepath Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

15 Issued in SC

Legal business name

BRIDGEPATH INC

Practice address

3900-B Park Rd
Charlotte, NC 28209

Phone

(704) 577-5862

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jean Smith Pruett, D.MIN., LPC, HTCP/INPI 1407831571

Title

Secretary/Treasurer

Phone

(704) 651-2895

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 2

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

• Jean S Pruett, D.MIN., LPC, HTCP/I

  • Professional Counselor
  • Roebuck, SC
  • NPI 1407831571
  NPD (past) Authorized official
• James William Pruett, PH.D; D.MIN.

  • Pastoral Counselor
  • Charlotte, NC
  • NPI 1801872445
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1578951109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 W HEATHERSTONE LN",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293762787",
            "telephone_number": "704-651-2895",
            "fax_number": "864-574-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900-B PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-577-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPATH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "704-651-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN., LPC, HTCP/I"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "2004",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "4663",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407831571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1801872445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bridgeline Transit, LLC
• Amelia Bridger, LCAS
• Morgan Elizabeth Bridgers, PA-C
• Bridges Health and Wellness
• Bridges Therapeutic Services PLLC
• Joyce L Bridges-Lockett, OTR

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.