Individual provider Active NPI

Michelle M Bridgewater

  • Counselor
  • Akron, OH
National Provider Identifier
1689017063
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
611 W Market St
Akron, OH 44303-1411
Phone
(330) 760-5903
NPI assigned
Apr 16, 2013
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

611 W Market St
Akron, OH 44303-1411

Mailing address

190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812

Other practice location 1

190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004044 OH Practitioner - Mental Health Counselor 3971008541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

190 Currie Hall Pkwy
Kent, OH 44240-4312

7134 Fowler Ave
Cincinnati, OH 45243-2504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Robinson & Associates LLC CurrentSince Aug 7, 2025 Accepting new patients
Child Guidance & Family Solutions Past Accepting new patients
Child Guidance & Family Solutions Past Accepting new patients

Locations

190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1689017063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812",
            "fax_number": "330-673-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031411",
            "telephone_number": "330-760-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Currie Hall Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442404312",
            "country_code": "US",
            "telephone_number": "330-673-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGEWATER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.