Provider Demographics
NPI:1629298096
Name:THOMPSON, BRIDGET ANN (MA, LIMHP, CPC)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, LIMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 HEREL ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-3684
Mailing Address - Country:US
Mailing Address - Phone:402-416-2211
Mailing Address - Fax:
Practice Address - Street 1:8101 O ST STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2647
Practice Address - Country:US
Practice Address - Phone:402-416-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1365101YM0800X
NE1786101YM0800X
NE8275101YM0800X
NE1356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE456304000OtherFSI PLAZA MAGELLAN
NE470756369-26Medicaid
NE470756369-30Medicaid
NE96079OtherFSI BCBS
NE96065OtherBCBS
NE345680000OtherFSI GT MEGELLAN