Bridget R Pettit, MS LMHP
Individual provider Active NPI Marriage & Family Therapist · North Platte, NE
NPI 1659394641 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659394641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2518 (NE)
- Practice address
- 110 N Bailey
North Platte, NE 69103 - Phone
- (308) 534-6029
- Fax
- (308) 534-6961
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Region II Human Services
Practice addresses (Care Compare)
110 N Bailey Ave
North Platte, NE 69101-5436
Phone (308) 534-6029
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130001174 | NE | Practitioner - Mental Health Counselor | 5890148506 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2518 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region II Human Services | Current |
Accepting new patients | |
| Region II Human Services | Current | Accepting new patients |
Locations
1012 W 3rd St
McCook, NE 69001
Phone (308) 345-2770
110 N Bailey Ave
North Platte, NE 69101
Phone (308) 532-4860
401 W 1st St
Ogallala, NE 69153
Phone 3082846767 ext. 206
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2518 | NE | Yes |
Addresses
Primary practice location
110 N Bailey
North Platte, NE 69103
Mailing address
PO Box 1209
110 N Bailey
North Platte, NE 69103
Phone (308) 534-6029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248453 | Other | MIDLANDS CHOICE | |
| 84483 | Other | BCBS |
Other names
- Bridget R Weitzel
Other providers in North Platte, NE
- Barbara Arlene Petersen
- Paige Petersen
- Aaron Oscar Peterson
- Alexi Nicole Peterson
- Candice Lyn Pettigrew
- Bonnie Pfannkuch
- Lannae Lynn Phelps
- Hanna R Pieper
- Tonya Pierce
- Alisha Pinault
All providers in North Platte, NE · Marriage & Family Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.