Bridges to Health Therapy Services Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BRIDGES TO HEALTH THERAPY SERVICES INC

Practice address

1200 N West Ave Ste 810
Jackson, MI 49202-2179

Phone

(517) 300-3985

NPI assigned

Sep 3, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitzi Diesing, LMSWNPI 1073568374

Title

Owner

Phone

(517) 300-3985

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitzi Audra Diesing, MSW, LMSW

  • Social Worker
  • Jackson, MI
  • NPI 1073568374
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1972271922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE STE 810",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-300-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE STE 810",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-300-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO HEALTH THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DIESING",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-300-3985",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801083573",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "11809031",
            "affiliation": "N",
            "endpointDescription": "CAQH",
            "address_1": "1200 N West Ave Ste 810",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492022179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheryl Anne Brewer
• Brian J Daly MD PLC
• Brian R Sebesky D.C., P.C.
• Bricker B Buseth (Mobile Vision)
• Lori Kathryn Brickner, PA-C
• Eva Marie Briggs, MHC
• Kenneth C Briggs, R.PH.
• Lawson Nolen Bright-Mitchell
• Rafael C Brillantes, MD
• Douglas Laverne Brinker

• Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.