Dana Bridges, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13598 Issued in FL

Practice address

6267 Pottsburg Plantation Blvd
Jacksonville, FL 32216-8954

Phone

(904) 334-9954

NPI assigned

Apr 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 13, 2024 through Nov 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Christian Counseling

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1154852234
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1619322740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6267 POTTSBURG PLANTATION BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168954",
            "telephone_number": "904-334-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6267 POTTSBURG PLANTATION BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168954",
            "telephone_number": "904-334-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DANA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Builders United, Inc.
• Bridge to Resolution Counseling and Rehabilitation
• Ronda Katrice Bridgeman
• Bridges Behavioral Services Inc
• Andrea Bridges
• Jerry Alan Bridgham, MD
• Brielle Diagnostics LLC
• John M Briere-Saltis, BCABA
• Jairo Brieva, M.D.
• Brigantti Anesthesia & Spine Care

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.