BRIDGE TO PEACE COUNSELING, LLC
NPI 1205430261
Counselor - Mental Health in Valparaiso, IN
About Bridge To Peace Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGE TO PEACE COUNSELING, LLC (NPI 1205430261) is a healthcare organization registered as a mental health in Valparaiso, Indiana and active in the NPI registry since November 2020. The organization lists Kym A Groceman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridge To Peace Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridge To Peace Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bridge To Peace Counseling, LLC's NPI number?
The NPI number for Bridge To Peace Counseling, LLC is 1205430261. It was assigned to this organization in the NPPES registry on November 30, 2020.
Where is Bridge To Peace Counseling, LLC located?
Bridge To Peace Counseling, LLC is located at 502 Wall St Ste 105, Valparaiso, IN 46383. The listed phone number is (219) 627-1555.
What is Bridge To Peace Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bridge To Peace Counseling, LLC enrolled in Medicare?
Yes. Bridge To Peace Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridge To Peace Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Bridge To Peace Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bridge To Peace Counseling, LLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Bridge To Peace Counseling, Llc · NPI 1205430261
Mental Health organization in Valparaiso, Indiana. Organization record, active in the CMS NPPES registry since November 30, 2020.
## Identity
- **NPI:** 1205430261 (Entity type: Organization)
- **Enumerated:** November 30, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Bridge to Peace Counseling, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kym Groceman, OWNER
## Practice location
- **Address:** 502 WALL ST STE 105, Valparaiso, IN 46383-2599
- **Phone:** (219) 627-1555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2020
- **Other identifiers:** Other 39002848A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1205430261) · Data from the CMS NPPES public registry.