Individual provider Active NPI

Bridget Helene Lemke Moodie, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1770174112
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016862 Issued in CO
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

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC.0016862OtherCOCOLORADO LICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Bridget Helene Lemke Former name

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

LicenseStateTypeSpecialty
LPC.0016862COMDProfessional 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.

Verify at the official NPI Registry.