LYNN BRIDGERS (NPI# 1417355736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417355736 |
| Entity Type | Individual |
| Full Name | LYNN BRIDGERS |
| Practice Address |
4300 Silver Ave Se Albuquerque NM 87108-2748 |
| Mailing Address |
7705 Spring Ave Ne Albuquerque NM 87110-7331 |
| Practice Telephone | 5052551804 |
| Practice Fax Number | 5052654446 |
| Mailing Telephone | 5052680318 |
| Mailing Fax Number | 5052654446 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0169561 | NM | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0169561 | NM | Behavioral Health & Social Service Providers |
| Street Address |
4300 SILVER AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235466103 | Archie Grine | Counselor | 4300 Silver Ave Se, Suite F, Albuquerque, NM 87108-2748 | 2009-11-12 |
| 1710425624 | Pamela Ann Gutierrez | Counselor | 4300 Silver Ave Se, Albuquerque, NM 87108-2748 | 2017-02-10 |
| 1629524160 | Sheila Jimenez | Social Worker | 4300 Silver Ave Se, Albuquerque, NM 87108 | 2016-08-25 |
| 1568832616 | Anthony Pipia | Counselor | 4300 Silver Ave Se, Ste F, Albuquerque, NM 87108-2748 | 2015-10-01 |
| 1922406420 | Gregory Gould | Counselor | 4300 Silver Ave Se, Ste. F, Albuquerque, NM 87108-2748 | 2014-12-15 |
| 1376962225 | Roy Whiteeagle | Counselor | 4300 Silver Ave Se, Suite F, Albuquerque, NM 87108-2748 | 2014-04-08 |
| 1659795847 | Self Directed Options | Case Management | 4300 Silver Ave Se, Suite B, Albuquerque, NM 87108-2748 | 2014-02-10 |
| 1720409311 | Self-directed Options, LLC | Supports Brokerage | 4300 Silver Ave Se, Suite B, Albuquerque, NM 87108-2748 | 2013-12-26 |
| 1669788014 | Adrian Silva | Counselor | 4300 Silver Ave Se, Suite F, Albuquerque, NM 87108-2748 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on LYNN BRIDGERS.
| 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.