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DEANIE LYNETTE BRIDGE
NPI 1720476336
Counselor - Mental Health in Grand Junction, CO

Active since January 05, 2015Opted out of Medicare · through Jan 16, 2027
518 28 RD STE A101, A101, GRAND JUNCTION, CO 81501(970) 778-2473 Get Directions Write a Review

NPPES record last updated: April 2, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deanie Lynette Bridge NPPES

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

DEANIE LYNETTE BRIDGE (NPI 1720476336) is an individual mental health provider in Grand Junction, Colorado, licensed in Colorado (0015059) and active in the NPI registry since January 2015. She has opted out of Medicare through January 16, 2027.

NPPES Registry Identity

NPI1720476336
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEANIE LYNETTE BRIDGE
Location Address518 28 RD STE A101, A101Grand Junction, CO 81501-6557
Mailing Address518 28 Rd, A101Grand Junction, CO 81501-6556 · (970) 778-2473
Phone(970) 778-2473
Sole ProprietorYes
Enumeration DateJanuary 5, 2015
Last NPPES UpdateApril 2, 2017
✔ NPI 1720476336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · 0015059
518 28 RD STE A101, Grand Junction, CO 81501
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Other Names 1

Former Name (1)Deanie Lynette Peron Lpcc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Deanie Lynette Bridge has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2025 through January 16, 2027.

Opt-Out Effective DateJanuary 16, 2025
Opt-Out In Effect ThroughJanuary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Deanie Bridge's NPI number?

The NPI number for Deanie Bridge is 1720476336. It was assigned to this individual provider in the NPPES registry on January 5, 2015. The provider is also known as Deanie Lynette Peron Lpcc.

Where is Deanie Bridge located?

Deanie Bridge practices at 518 28 Rd Ste A101 A101, Grand Junction, CO 81501. The listed phone number is (970) 778-2473.

What is Deanie Bridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Deanie Bridge enrolled in Medicare?

No. Deanie Bridge has opted out of Medicare through January 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deanie Bridge was last updated on April 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.