Charmaine Bridgens

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT134305 Issued in CA

Practice address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone

(650) 394-5155

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1992478077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FORREST DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016521",
            "telephone_number": "714-316-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-394-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGENS",
        "first_name": "CHARMAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC11820",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT134305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowman Medical (Bowman Medical Supply)
• Bowman Medical Supply
• Jessica Linares Boyle, APCC
• Richard Bennett Braunstein, M.D.
• Kemper Lynn Bricker
• Brielle E. Kelly, L.Ac., Inc.
• Sarah Anne Brill, D.O.
• Aubrey Hope Brisbane
• Kevin Britt
• Jacob Broder Broder, BCBA

• Marriage & Family Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.