Bridge Builders Pastoral Counseling and Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRIDGE BUILDERS PASTORAL COUNSELING AND PSYCHOTHERAPY

Practice address

5919 Oleander Dr
Suite 104
Wilmington, NC 28403-4780

Phone

(910) 792-9888

Fax

(910) 792-9883

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas M Owen, LPC

Title

President

Phone

(910) 792-9888

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jennifer C Campbell, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1669700084
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1891749610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "SUITE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-792-9888",
            "fax_number": "910-792-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "SUITE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-792-9888",
            "fax_number": "910-792-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE BUILDERS PASTORAL COUNSELING AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-792-9888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Brewster Piper, DC
• Marissa Brezner, M.S. CCC-SLP
• Margaret Leckie Brice, LCSW
• Richard W. Brice, MSW, LCSW
• Bridge Builders Counseling PLLC
• Bridgecare
• Dewey Herbert Bridger III, MD
• Bridges of Wilmington
• Bridges of Wilmington
• Bridgeside Counseling Services, PLLC

• Adult Mental Health Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.