Bridgeway Christian Church

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGEWAY CHRISTIAN CHURCH

Practice address

8150 Industrial Ave BLDG a
Roseville, CA 95678-5903

Phone

(916) 626-3017

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

David Heitzler, LMFTNPI 1376105593

Title

Soul Care Director

Phone

(916) 625-6010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Heitzler

  • Marriage & Family Therapist
  • Roseville, CA
  • NPI 1376105593
  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1821823485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 INDUSTRIAL AVE BLDG A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 INDUSTRIAL AVE BLDG A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785903",
            "telephone_number": "916-626-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY CHRISTIAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HEITZLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOUL CARE DIRECTOR",
        "authorized_official_telephone_number": "916-625-6010",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Martin, DDS, Inc.
• Carl Raymond Brew, RN
• Gregory Michael Bricca, MD
• Ryan Brice
• Dustin Brett Bridges, PHD
• Vanessa Brien, PSY.D.
• Alta Moraine Briggs, AMFT
• Bright Beginnings Therapy, Inc.
• Bright Start Therapies, Inc.
• Autumn Brightbill Faris, MSW

• Mental Health Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.