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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BRIDGEWAY PSYCHOLOGICAL AND COUNSELING SERVICES PLLC
NPI 1649192907
Social Worker - Clinical in Pocatello, ID

Active since July 28, 2026
1777 E CLARK ST STE 210, POCATELLO, ID 83201(208) 203-2088 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgeway Psychological And Counseling Services Pllc NPPES

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

BRIDGEWAY PSYCHOLOGICAL AND COUNSELING SERVICES PLLC (NPI 1649192907) is a healthcare organization registered as a clinical in Pocatello, Idaho and active in the NPI registry since July 2026. The organization lists Matthew B Olsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1649192907
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRIDGEWAY PSYCHOLOGICAL AND COUNSELING SERVICES PLLC
Location Address1777 E CLARK ST STE 210Pocatello, ID 83201-3357
Mailing Address1777 E Clark St Ste 210Pocatello, ID 83201-3357 · (208) 203-2088
Phone(208) 203-2088
Organization SubpartNo
Authorized OfficialMatthew B OlsenOwner · (208) 203-2088
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1649192907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1777 E CLARK ST STE 210, Pocatello, ID 83201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. TANDICE PETERSON
Counselor (Mental Health)
1777 E CLARK ST STE 210
POCATELLO, ID 83201
Bannock County (208) 427-5891
PATHWAY COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
1777 E CLARK ST STE 210
POCATELLO, ID 83201
Bannock County (208) 427-5891
MEGAN OLSEN BIRD PH.D.
Psychologist (Clinical)
1777 E CLARK ST STE 210
POCATELLO, ID 83201
Bannock County (208) 203-2088
MATTHEW B OLSEN LCSW
Social Worker (Clinical)
1777 E CLARK ST STE 210
POCATELLO, ID 83201
Bannock County (208) 203-2088

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 Bridgeway Psychological And Counseling Services PLLC's NPI number?

The NPI number for Bridgeway Psychological And Counseling Services PLLC is 1649192907. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Bridgeway Psychological And Counseling Services PLLC located?

Bridgeway Psychological And Counseling Services PLLC is located at 1777 E Clark St Ste 210, Pocatello, ID 83201. The listed phone number is (208) 203-2088.

What is Bridgeway Psychological And Counseling Services PLLC'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 Bridgeway Psychological And Counseling Services PLLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.