NPIMap

Organization Active NPI

Bridgelight Counseling

Doing business as Christina Dame DBA Bridgelight Counseling

  • Professional Counselor
  • Lake Geneva, WI
National Provider Identifier
1952020570
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRIDGELIGHT COUNSELING
Doing business as
Christina Dame DBA Bridgelight Counseling
Practice address
647 W Main St Ste 700
Lake Geneva, WI 53147-1997
Phone
(262) 729-3143
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Christina Dame, LPCNPI 1902259807
Title
Owner/Head Counselor
Phone
(262) 729-3143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

647 W Main St Ste 700
Lake Geneva, WI 53147-1997

Mailing address

647 W Main St Ste 700
Lake Geneva, WI 53147-1997
Phone (262) 729-3143

Other identifiers 1

IdentifierTypeStateIssuer
100065492MedicaidWI

Other names 2

  • Christina Dame DBA Bridgelight Counseling Doing business as
  • Bridgelight Counseling Other name

National Provider Directory

National Provider Directory
Tax ID family
Bridgelight Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

647 W Main St
Ste 500
Lake Geneva, WI 53147

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1952020570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 W MAIN ST STE 700",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471997",
            "telephone_number": "262-729-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 W MAIN ST STE 700",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471997",
            "telephone_number": "262-729-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGELIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DAME",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/HEAD COUNSELOR",
        "authorized_official_telephone_number": "262-729-3143",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065492",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christina Dame DBA Bridgelight Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christina Dame DBA Bridgelight Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgelight Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.