MISS BRIDGET ANNE DEDELOW
NPI 1376219758
Counselor - Mental Health in Springfield, OR
About Miss Bridget Anne Dedelow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS BRIDGET ANNE DEDELOW (NPI 1376219758) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valparaiso, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Bridget Anne Dedelow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
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 Bridget Dedelow's NPI number?
The NPI number for Bridget Dedelow is 1376219758. It was assigned to this individual provider in the NPPES registry on August 17, 2021.
Where is Bridget Dedelow located?
Bridget Dedelow practices at 1705 Centennial Blvd Ste 2, Springfield, OR 97477. The listed phone number is (541) 818-0009.
What is Bridget Dedelow's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bridget Dedelow enrolled in Medicare?
Yes. Bridget Dedelow is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bridget Dedelow was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Miss Bridget Anne Dedelow · NPI 1376219758
Mental Health provider in Springfield, Oregon. Individual provider, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1376219758 (Entity type: Individual)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1705 CENTENNIAL BLVD STE 2, Springfield, OR 97477-3320
- **Phone:** (541) 818-0009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376219758) · Data from the CMS NPPES public registry.