Johanna E Bridges, LPC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15618 Issued in NC

Practice address

5710 W Gate City Blvd # K248
Greensboro, NC 27407-7061

Phone

(484) 716-2813

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriveworks Clinical - North Carolina PC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1003303082
  Medicare reassignment NPD

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1972191419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 W GATE CITY BLVD # K248",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077061",
            "telephone_number": "484-716-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 W GATE CITY BLVD # K248",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077061",
            "telephone_number": "484-716-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JOHANNA",
        "middle_name": "E",
        "credential": "LPC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00162200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Betterhelp.com",
            "affiliation": "Y",
            "affiliationName": "Betterhelp",
            "address_1": "5710 W Gate City Blvd # K248",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274077061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian M.J. Brewster, D-PT
• Leila Brewster
• Melissa Ann Brewster
• Walter Allen Brickhouse
• Janiqua Brickous
• Leslie Michelle Bridges, RN
• Nadia Bridges
• Bridging the G.a.P.P. Through Ambition, Passion, and Positivity, LLC
• Bridgu, PLLC
• Jennifer Rortvedt Brienza, NP

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.