Bridgeway Counseling LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGEWAY COUNSELING LLC

Practice address

4204 16TH Ave S
Minneapolis, MN 55407-3312

Phone

(612) 242-0673

NPI assigned

Dec 27, 2020

Organization subpart

No

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

Authorized official

Name

Abdifatah Isse Nuuh, MAHHSA/ALDNPI 1639779127

Title

Owner/Manager

Phone

(612) 242-0673

Specialties & licenses 2

Addresses

Practitioners 1

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

• Abdifatah Nuuh, MAHHSA

  • Counseling Psychologist
  • Minneapolis, MN
  • NPI 1639779127
  NPD Authorized official

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1902493851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073312",
            "telephone_number": "612-242-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073312",
            "telephone_number": "612-242-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-27",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "NUUH",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_middle_name": "ISSE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-242-0673",
        "authorized_official_credential": "MAHHSA/ALD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Elaine Bridges
• Jennifer Bridges
• Megan M Bridges, CNM
• Bridgeway
• Bridgeway Behavioral Health
• Bridgeway Home Healthcare Ser
• Bridgeway Therapeutic Services Inc
• Bridgeway Therapeutics Inc
• Bridging the Gap Behavioral Health PLLC
• Rah Bridwell

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.