Organization Active NPI

Bridgette Miller Child Counsleing

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1598499717
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Bridgette Miller, LPCNPI 1194271494
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.