Active NPI
Bridgeway Behavioral Health
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1912893660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.