BRIDGE TO CHANGE LLC (NPI# 1164782488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164782488 |
| Entity Type | Organization |
| Organization Name | BRIDGE TO CHANGE LLC |
| Other Organization Name | KAREN LOONEY-MASTERSON MA, CAMF |
| Practice Address |
470 Schooley's Mountain Road Hastings Square Suite 10 Hackettstown NJ 07840 |
| Practice Telephone | 9082464011 |
| Mailing Telephone | 9082464011 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MRS. KAREN LOONEY-MASTERSON (EXECUTIVE DIRECTOR/OWNER/COUNSELOR) |
| Authorized Official Telephone | 9082464011 |
| Authorized Official Credential | M.A, C.A.M.F. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Karen Looney-Masterson MA, CAMF | Other Name - Individual/Organization |
| Street Address |
470 SCHOOLEY'S MOUNTAIN ROAD HASTINGS SQUARE SUITE 10 |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258418 | Robyn Banker | Counselor | 490 Schooleys Mountain Rd Ste 12, Hackettstown, NJ 07840-4002 | 2020-06-03 |
| 1053876581 | Counseling On Wheels, LLC | Counselor | 120 Grand Ave Unit 7073, Hackettstown, NJ 07840-8043 | 2019-02-08 |
| 1164870291 | Alfonsina Reyes | Counselor | 112 East Ave Unit 9, Hackettstown, NJ 07840-2662 | 2016-05-31 |
| 1932355922 | Kathleen Burke | Counselor | 121 Shelley Dr Ste 2e, Hackettstown, NJ 07840-2530 | 2008-08-11 |
| 1487861852 | Mary-michael Levitt | Counselor | 43 Powhatatan Way, Hackettstown, NJ 07840-2648 | 2007-05-16 |
| 1982820361 | Kurt Mckinley | Counselor | 43 Newburgh Rd, Suite 403, Hackettstown, NJ 07840-3900 | 2007-04-17 |
| 1811512882 | New Discoveries Behavioral Health LLC | Counselor | 121 Shelley Dr Ste 2e, Hackettstown, NJ 07840-2530 | 2020-06-15 |
| 1124643283 | Christine Lyman | Counselor | 1 Edgeview Dr Ste 2b, Hackettstown, NJ 07840-4003 | 2020-06-14 |
| 1174175772 | Kimberly Schaffer, LLC | Counselor | 1 Edgeview Dr Ste 2b, Hackettstown, NJ 07840-4003 | 2019-07-12 |
| 1730641481 | Margarget Zepka | Counselor | 254b Mountain Ave, Hackettstown, NJ 07840-2413 | 2019-04-02 |
| Find all providers in HACKETTSTOWN | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
Please comment or provide details below to improve the information on BRIDGE TO CHANGE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.