Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIDGEWATER COUNSELING SERVICES, LLC
NPI 1144847880
Social Worker - Clinical in Breese, IL

Active since June 29, 2020
10551 VONDER HAAR LN, BREESE, IL 62230(618) 520-3339 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Jun 5, 2024, Jun 29, 2020 (3 updates tracked since 2020).

About Bridgewater Counseling Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWATER COUNSELING SERVICES, LLC (NPI 1144847880) is a healthcare organization registered as a clinical in Breese, Illinois and active in the NPI registry since June 2020. The organization lists Renee M Keller, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1144847880
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRIDGEWATER COUNSELING SERVICES, LLC
Location Address10551 VONDER HAAR LNBreese, IL 62230-4316
Mailing Address10551 Vonder Haar LnBreese, IL 62230-4316 · (618) 520-3339
Organization SubpartNo
Authorized OfficialRenee M KellerPsychotherapist · (618) 520-3339
Enumeration DateJune 29, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1144847880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10551 VONDER HAAR LN, Breese, IL 62230

Other Identifiers 3

Other1487841714Npi
Other2012036897MO · Professional Clinical Social Work License
Other149015007IL · Professional License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10551 VONDER HAAR LN
BREESE, IL 62230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgewater Counseling Services, LLC's NPI number?

The NPI number for Bridgewater Counseling Services, LLC is 1144847880. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Bridgewater Counseling Services, LLC located?

Bridgewater Counseling Services, LLC is located at 10551 Vonder Haar Ln, Breese, IL 62230. The listed phone number is (618) 520-3339.

What is Bridgewater Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bridgewater Counseling Services, LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.