Active NPI
Bridging Mental Health
- Adult Mental Health Clinic/Center
- Edina, MN
National Provider Identifier
1720804305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BRIDGING MENTAL HEALTH
- Practice address
- 7801 E Bush Lake Rd Ste 130
Edina, MN 55439-3152 - Phone
- (612) 599-8366
- NPI assigned
- Nov 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Kassebaum, LMFT
- Title
- President
- Phone
- (612) 910-0607
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
7801 E Bush Lake Rd Ste 130
Edina, MN 55439-3152
Mailing address
7801 E Bush Lake Rd Ste 130
Edina, MN 55439-3152
Phone (612) 599-8366
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Edina, MN
- NPI 1629873617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732665600000",
"number": "1720804305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 E BUSH LAKE RD STE 130",
"city": "EDINA",
"state": "MN",
"postal_code": "554393152",
"telephone_number": "612-599-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 E BUSH LAKE RD STE 130",
"city": "EDINA",
"state": "MN",
"postal_code": "554393152",
"telephone_number": "612-599-8366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGING MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A",
"authorized_official_last_name": "KASSEBAUM",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-910-0607",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.