Active NPI
Bridget Helene Lemke Moodie, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1770174112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016862
- Practice address
- 1776 Curtis St Apt 1504
Denver, CO 80202-2551 - Phone
- (610) 761-1093
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0016862 | CO | Primary |
Addresses
Primary practice location
1776 Curtis St Apt 1504
Denver, CO 80202-2551
Mailing address
1776 Curtis St Apt 1504
Denver, CO 80202-2551
Phone (610) 761-1093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC.0016862 | Other | CO | COLORADO LICENSED PROFESSIONAL COUNSELOR |
Other names 1
- Bridget Helene Lemke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016862 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1770174112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 CURTIS ST APT 1504",
"city": "DENVER",
"state": "CO",
"postal_code": "802022551",
"telephone_number": "610-761-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 CURTIS ST APT 1504",
"city": "DENVER",
"state": "CO",
"postal_code": "802022551",
"telephone_number": "610-761-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODIE",
"first_name": "BRIDGET",
"middle_name": "HELENE LEMKE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC.0016862",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "LEMKE",
"middle_name": "HELENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.