Bridget C. Ellingboe, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105228 Issued in WI

Practice address

6314 Odana Rd
LSS of Wi & Upper Mi, Inc.
Madison, WI 53719-1129

Phone

(608) 277-0610

Fax

(608) 270-6651

NPI assigned

Feb 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guided Solutions Therapy SCGroup PAC ID 4789039686, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guided Solutions Therapy SC

  • Addiction (Substance Use Disorder) Counselor
  • Deforest, WI
  • NPI 1558977991
  Medicare reassignment Care Compare group NPD
• Meriter Hospital, Inc.

  • Psychiatric Hospital Unit
  • Madison, WI
  • NPI 1548280225
  Medicare reassignment NPD
• Meriter Hospital, Inc.

  • General Practice Physician
  • Madison, WI
  • NPI 1932572955
  NPD

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1801035977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 ODANA RD",
            "address_2": "LSS OF WI & UPPER MI, INC.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191129",
            "telephone_number": "608-277-0610",
            "fax_number": "608-270-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 ODANA RD",
            "address_2": "LSS OF WI & UPPER MI, INC.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191129",
            "telephone_number": "608-277-0610",
            "fax_number": "608-270-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGBOE",
        "first_name": "BRIDGET",
        "middle_name": "C.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "105228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Ellestad
• Yakub A. Ellias, MD
• Ellickson Dental LLC
• Luke Ellickson, DDS
• Kayla Ellifson, PT
• Arlene Marie Ellingson, RPH
• Caleb Ellingson, MD
• William Romaine Ellingson
• Victoria Ellington-Deitz, LPC-IT
• Emma Elliott

• Marriage & Family Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.