Organization Active NPI

Bridgeway Behavioral Health

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1912893660
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGEWAY BEHAVIORAL HEALTH
Practice address
1201 E Lake St Ste 2E
Minneapolis, MN 55407-1852
Phone
(612) 385-3625
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Anisa Esse
Title
Owner
Phone
(612) 385-3625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1201 E Lake St Ste 2E
Minneapolis, MN 55407-1852

Mailing address

1201 E Lake St Ste 2E
Minneapolis, MN 55407-1852

National Provider Directory

National Provider Directory

Locations

1201 E Lake St
Ste 2E
Minneapolis, MN 55407
Phone (612) 385-3625

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1912893660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E LAKE ST STE 2E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E LAKE ST STE 2E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071852",
            "telephone_number": "612-385-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "ESSE",
        "authorized_official_first_name": "ANISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-385-3625"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.