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BRIDGE COUNSELING CENTER INC
NPI 1609812130
Social Worker - Clinical in Smithtown, NY

Active since June 22, 2006
269 E MAIN ST, SUITE F2, SMITHTOWN, NY 11787(631) 360-6695 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2021, Dec 1, 2015 (2 updates tracked since 2015).

About Bridge Counseling Center Inc NPPES

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

BRIDGE COUNSELING CENTER INC (NPI 1609812130) is a healthcare organization registered as a clinical in Smithtown, New York and active in the NPI registry since June 2006. The organization lists Lisa F Raia, President , Director, as its authorized official.

NPPES Registry Identity

NPI1609812130
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRIDGE COUNSELING CENTER INC
Location Address269 E MAIN ST, SUITE F2Smithtown, NY 11787-2832
Mailing AddressPo Box 286Smithtown, NY 11787-0286 · (631) 360-6695
Phone(631) 360-6695
Organization SubpartNo
Authorized OfficialLisa F RaiaPresident , Director · (631) 360-6695
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1609812130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 075024-1
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.
269 E MAIN ST, Smithtown, NY 11787
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Other Identifiers 1

Medicaid6020754230NY

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

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 Counseling Center Inc 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 Counseling Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Raia, LCSW-R
Clinical Social Worker
NPI 1285708321
269 E MAIN ST SUITE F2
Smithtown, NY 11787
(631) 360-6695
✔ PECOS✔ Accepts MedicareSame address

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 Counseling Center Inc's NPI number?

The NPI number for Bridge Counseling Center Inc is 1609812130. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Bridge Counseling Center Inc located?

Bridge Counseling Center Inc is located at 269 E Main St Suite F2, Smithtown, NY 11787. The listed phone number is (631) 360-6695.

What is Bridge Counseling Center Inc's specialty?

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

Is Bridge Counseling Center Inc enrolled in Medicare?

Yes. Bridge Counseling Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridge Counseling Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bridge Counseling Center Inc. 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 Counseling Center Inc was last updated on July 20, 2021. 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.