BRIDGES HABILITATION SERVICES, INC. (NPI# 1710392220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710392220 |
| Entity Type | Organization |
| Organization Name | BRIDGES HABILITATION SERVICES, INC. |
| Other Organization Name | BRIDGES |
| Practice Address |
400 S Kendrick Ave Suite 201d Gillette WY 82716-3848 |
| Mailing Address |
Po Box 1642 Evanston WY 82931-1642 |
| Practice Telephone | 3076857105 |
| Practice Fax Number | 3072220614 |
| Mailing Telephone | 3077890664 |
| Mailing Fax Number | 3077891902 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | MR. DAVID M CANEN (CEO) |
| Authorized Official Telephone | 3077890664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1245305804 | 05 |
| Other Name | Type Code |
|---|---|
| Bridges | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299313 | Bridges Habilitation Services, Inc. | Specialist | 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 | 2017-08-03 |
| 1447673678 | Bridges Habilitation Services, Inc. | Counselor | 400 S Kendrick Ave, Suite 101, Gillette, WY 82716-3848 | 2014-01-23 |
| Street Address |
400 S KENDRICK AVE SUITE 201D |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740438209 | Craig Dean Falkman | Counselor | 400 S Kendrick Ave, Gillette, WY 82716-3848 | 2008-09-08 |
| 1437504974 | Wendy Depina | Case Management | 400 S Kendrick Ave, 104 C, Gillette, WY 82716-3848 | 2016-05-03 |
| 1346602851 | Jeannie C Peterson | Case Management | 400 S Kendrick Ave, Suite 104e, Gillette, WY 82716-3848 | 2016-03-23 |
| 1184039406 | Candice Heemeyer | Case Manager/Care Coordinator | 400 S Kendrick Ave, Suite 201d, Gillette, WY 82716-3848 | 2014-06-25 |
| 1447673678 | Bridges Habilitation Services, Inc. | Counselor | 400 S Kendrick Ave, Suite 101, Gillette, WY 82716-3848 | 2014-01-23 |
| 1164727301 | Chantall Marie Cherry | Case Management | 400 S Kendrick Ave, Suite 104c, Gillette, WY 82716-3848 | 2011-01-19 |
| 1154626711 | Clay William Dokken | Counselor | 400 S Kendrick Ave, Suite 204, Gillette, WY 82716-3848 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225693872 | Himes Counseling LLC | Clinic/Center | 113 S Gillette Ave Ste 215, Gillette, WY 82716-3741 | 2019-05-08 |
| 1528538931 | Whole Life Counseling LLC | Clinic/Center | 1800 W 4j Rd, Gillette, WY 82718-9109 | 2018-11-28 |
| 1093903379 | Uhs of Wyoming, Inc. | Clinic/Center | 518 N Highway 14 16, Gillette, WY 82716-3305 | 2007-10-11 |
| 1891152344 | Courage To Change LLC | Clinic/Center | 113 S Gillette Ave, Ste 200, Gillette, WY 82716-3740 | 2016-01-27 |
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|---|---|---|---|---|
| 1871103127 | Lupine Mental Health and Integrative Psychiatry LLC | Clinic/Center | 125 E Pearl Ave Ste 207, Jackson, WY 83001-8599 | 2020-08-02 |
| 1679199897 | Wyoming Trauma Treatment Center | Clinic/Center | 800 Werner Ct Ste 258, Casper, WY 82601-1324 | 2020-06-23 |
| 1295211787 | Nicole Rue, Psy.d., LLC | Clinic/Center | 1115 Maple Way Ste D, Jackson, WY 83001-8567 | 2018-07-17 |
| 1619465838 | Elevate Counseling | Clinic/Center | 116 5th St Ste 8, Rawlins, WY 82301-5632 | 2018-04-23 |
| 1649795907 | Cowboy Psychological Services PC | Clinic/Center | 1123 Big Horn Ave Ste A, Worland, WY 82401-2814 | 2017-08-08 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1245605344 | Magellan Healthcare | Clinic/Center | 8035 W Chalk Creek Rd, Casper, WY 82604-1744 | 2015-12-01 |
| 1700258514 | Peaceful Minds, LLC | Clinic/Center | 1300 E A St Ste 101, Casper, WY 82601-2211 | 2015-10-20 |
| 1063894632 | Teton Youth & Family Services- Red Top Meadows | Clinic/Center | 7905 S. Fall Creek Road, Box 290, Wilson, WY 83014-0290 | 2015-06-19 |
| 1770859548 | High Country Behavioral Health | Clinic/Center | 100 Yellowstone River Dr, Evanston, WY 82930-5371 | 2012-03-27 |
| Find all providers with the same taxonomy | ||||
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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.