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MISS BRIDGET ANNE DEDELOW
NPI 1376219758
Counselor - Mental Health in Springfield, OR

Active since August 17, 2021PECOS Enrolled
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477(541) 818-0009 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2022, Aug 17, 2021 (2 updates tracked since 2021).

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 and maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1376219758
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS BRIDGET ANNE DEDELOW
Location Address1705 CENTENNIAL BLVD STE 2Springfield, OR 97477-3320
Mailing Address324 Golfview DrSchererville, IN 46375-2042 · (219) 323-9052
Phone(541) 818-0009
Sole ProprietorNo
Enumeration DateAugust 17, 2021
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1376219758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
1705 CENTENNIAL BLVD STE 2, Springfield, OR 97477
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Secondary Practice Location 1

Location 12801 Bertholet Blvd Ste 301Valparaiso, IN 46383-7959 · Phone (219) 323-3311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Bridget Anne Dedelow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bridget Dedelow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oregon Directions, LLC
Same address
Mental Health
1705 CENTENNIAL BLVD STE 2
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1225707763 (970) 962-4819

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ROBERT MOUNTAINSPRING-WOOD
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
ANDREA DAWN DAVENPORT LPC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
MR. GLEN RUDERMAN
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (970) 962-4819
JASON LAMB
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (458) 818-0009
CODIE WILSON
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
TAYLOR CHARLES VAN RYSSELBERGHE
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009

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.

Which organization bills Medicare for Bridget Dedelow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Dedelow reassigns Medicare benefits to Oregon Directions, LLC (Springfield, OR). The 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 Bridget Dedelow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bridget Dedelow accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Bridget Dedelow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.