NPIMap

Organization Active NPI

Bridge Counseling and Wellness, PLLC

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1700601333
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIDGE COUNSELING AND WELLNESS, PLLC
Practice address
915 Bridge St Ste 122
Winston Salem, NC 27101-1198
Phone
(336) 649-6828
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Grace LigonNPI 1851907166
Title
Owner
Phone
(336) 649-6828

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

915 Bridge St Ste 122
Winston Salem, NC 27101-1198

Mailing address

915 Bridge St Ste 122
Winston Salem, NC 27101-1198

National Provider Directory

National Provider Directory

Locations

915 Bridge St
Ste 122
Winston Salem, NC 27101
Phone (336) 649-6828

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": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1700601333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BRIDGE ST STE 122",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BRIDGE ST STE 122",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011198",
            "telephone_number": "336-649-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-649-6828"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.