Organization Active NPI

Bridges Coordination Services PC

Doing business as Bridges Coordination Services

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1750152740
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIDGES COORDINATION SERVICES PC
Doing business as
Bridges Coordination Services
Practice address
1060 Winton Ave
Indianapolis, IN 46224-6958
Phone
(317) 480-0421
NPI assigned
Jan 10, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Crystal Lea McAvoy, LPN, CCMNPI 1467298000
Title
Ceo/Owner
Phone
(317) 480-0421

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

1060 Winton Ave
Indianapolis, IN 46224-6958

Mailing address

1060 Winton Ave
Indianapolis, IN 46224-6958
Phone (131) 748-0042

Other names 1

  • Bridges Coordination Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, SC, MO, IN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20240529001465 NC Part B Supplier - Clinic/Group Practice 0345685046 Receives reassigned benefits from 1 practitioner
Practice locations: Louisburg, NC
O20240530003009 FL Part B Supplier - Clinic/Group Practice 0345685046 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL
O20240814004729 SC Part B Supplier - Clinic/Group Practice 0345685046 Receives reassigned benefits from 1 practitioner
Practice locations: Darlington, SC
O20241014001466 MO Part B Supplier - Clinic/Group Practice 0345685046 Practice locations: Saint Louis, MO
O20241022003037 IN Part B Supplier - Clinic/Group Practice 0345685046 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1750152740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WINTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246958",
            "telephone_number": "131-748-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WINTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246958",
            "telephone_number": "317-480-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COORDINATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "MCAVOY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "317-480-0421",
        "authorized_official_credential": "LPN, CCM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Coordination Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridges Coordination Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.