BRIDGES TO CHANGE (NPI# 1326410986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326410986 |
| Entity Type | Organization |
| Organization Name | BRIDGES TO CHANGE |
| Practice Address |
7916 Se Foster Rd Ste 201 Portland OR 97206-4289 |
| Mailing Address |
Po Box 16576 Portland OR 97292-0576 |
| Practice Telephone | 5034652749 |
| Practice Fax Number | 5032082596 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | KATELYN BESSETTE (DIRECTOR OF TREATMENT SERVICES) |
| Authorized Official Telephone | 5038587073 |
| Authorized Official Credential | MA, LPC, CADCII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500703921 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGES TO CHANGE, INC. | 7916 Se Foster Rd #201, Portland, OR 97206 |
| Street Address |
7916 SE FOSTER RD STE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679444 | Rebecca Klassy | Counselor | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-11-06 |
| 1841898467 | Jason Stutzman | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-15 |
| 1336747021 | Jason Goldberg | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-14 |
| 1477150019 | Jesse Farr-baenziger | Counselor | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-07 |
| 1023625233 | Jeffrey Feldes | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-09-30 |
| 1396358933 | Rena Williams | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-24 |
| 1861003543 | Isaac Salazar | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-14 |
| 1093326977 | Allie Mendez | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-13 |
| 1649898719 | Denise Bare | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-07-06 |
| 1720606890 | Robert Boeckel | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
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| 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.