Active NPI
Bridgette Miller Child Counsleing
- Adolescent and Children Mental Health Clinic/Center
- Madison, WI
National Provider Identifier
1598499717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- BRIDGETTE MILLER CHILD COUNSLEING
- Practice address
- 579 Donofrio Dr Ste 1
Madison, WI 53719-2838 - Phone
- (608) 577-3131
- Fax
- (608) 299-3906
- NPI assigned
- Jul 13, 2022
- Last updated
- Jul 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridgette Miller, LPC
- Title
- Family and Child Therapist, Owner
- Phone
- (608) 577-3131
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
579 Donofrio Dr Ste 1
Madison, WI 53719-2838
Mailing address
579 Donofrio Dr Ste 1
Madison, WI 53719-2838
Phone (608) 577-3131
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Madison, WI
- NPI 1194271494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1598499717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 DONOFRIO DR STE 1",
"city": "MADISON",
"state": "WI",
"postal_code": "537192838",
"telephone_number": "608-577-3131",
"fax_number": "608-299-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 DONOFRIO DR STE 1",
"city": "MADISON",
"state": "WI",
"postal_code": "537192838",
"telephone_number": "608-577-3131",
"fax_number": "608-299-3906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGETTE MILLER CHILD COUNSLEING",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRIDGETTE",
"authorized_official_title_or_position": "FAMILY AND CHILD THERAPIST, OWNER",
"authorized_official_telephone_number": "608-577-3131",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.