Provider Demographics
NPI:1013031566
Name:BRIDGE COUNSELING SERVICES
Entity type:Organization
Organization Name:BRIDGE COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-780-6225
Mailing Address - Street 1:505 NEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1609
Mailing Address - Country:US
Mailing Address - Phone:609-892-3758
Mailing Address - Fax:609-840-6213
Practice Address - Street 1:507 ROUTE US 9 S
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1258
Practice Address - Country:US
Practice Address - Phone:609-840-6034
Practice Address - Fax:609-840-6213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0020168Medicaid