Bridges Counseling Center for Child & Family Wellness at Bedminster

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BRIDGES COUNSELING CENTER FOR CHILD & FAMILY WELLNESS AT BEDMINSTER

Practice address

364 Main St Ste 1
Bedminster, NJ 07921-2592

Phone

(973) 634-5171

Fax

(862) 205-6072

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BRIDGES COUNSELINGAs reported in NPPES

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

Authorized official

Name

Ms. Heather Irene Didomenico, LPC

Title

Owner/Direcotr

Phone

(973) 634-5171

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Heather DiDomenico Former legal business name

Electronic endpoints 1

Part of

Bridges Counseling

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bridges Counseling

  dba Heather DiDomenico

  • Professional Counselor
  • Succasunna, NJ
  • NPI 1689963449
  NPPES parent name

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1760001143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SAND SHORE RD",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281511",
            "telephone_number": "973-634-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 MAIN ST STE 1",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212592",
            "telephone_number": "973-634-5171",
            "fax_number": "862-205-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COUNSELING CENTER FOR CHILD & FAMILY WELLNESS AT BEDMINSTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGES COUNSELING",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "DIDOMENICO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER/DIRECOTR",
        "authorized_official_telephone_number": "973-634-5171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DIVISION OF CONSUMER AFFAIRS",
            "identifier": "37PC001317200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bridgescounseling@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "SSL encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "364 Main St Ste 1",
            "city": "Bedminster",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079212592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heather DiDomenico",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anita Bhavnani
• Lisa Marie Bonaventura, M.D.
• Corey Scott Bosin, MD
• Felicia Bradley
• Robert Laurie Branch, L. AC.
• Bridget Nash
• Brighter Dental Care (Bedminster)
• Brighter Tomorrow Behavioral Services LLC
• Kevin J Brothers, PH.D., BCBA-D
• Dana Burns, PA-C

• Community Health Clinic/Center in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.