| Bridges Community Health Inc. | |
|
1450 Birch Ave Cottage Grove OR 97424-1417 | |
| (541) 255-1411 | |
| (541) 255-1412 |
| Full Name | Bridges Community Health Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1450 Birch Ave, Cottage Grove, Oregon |
| Authorized Official Name and Position | Tracey Kenyon (MANAGER) |
| Authorized Official Contact | 5412551411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Community Health Inc. 1976 Garden Ave Eugene OR 97403-1933 Ph: (541) 255-1411 | Bridges Community Health Inc. 1450 Birch Ave Cottage Grove OR 97424-1417 Ph: (541) 255-1411 |
| NPI Number | 1093249542 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 12/10/2025 |
| Certification Date | 12/10/2025 |
| Medicare PECOS PAC ID | 0547502783 |
|---|---|
| Medicare Enrollment ID | O20190508001947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093249542 | NPI | - | NPPES |
| 500767760 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Karla G Marvich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649522178 PECOS PAC ID: 1052614245 Enrollment ID: I20170915001651 |
| Provider Name | Mary Cameron Leyda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619534146 PECOS PAC ID: 7618371287 Enrollment ID: I20210803003793 |
| Provider Name | Linda M Willow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598968299 PECOS PAC ID: 2769888999 Enrollment ID: I20210913003378 |
| Provider Name | Victoria Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467937276 PECOS PAC ID: 9537536818 Enrollment ID: I20221028001194 |
| Provider Name | Alyssa R. Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699594200 PECOS PAC ID: 8527593466 Enrollment ID: I20241202000610 |
| Provider Name | Marcia G Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215131636 PECOS PAC ID: 3274781448 Enrollment ID: I20250327003475 |
| Provider Name | Kirstin Jan Parmeter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831607936 PECOS PAC ID: 6103349261 Enrollment ID: I20250328002815 |
| Provider Name | Rachael J. Koller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538573662 PECOS PAC ID: 9436672177 Enrollment ID: I20250402003491 |
| Provider Name | Whitney Elkington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457857443 PECOS PAC ID: 5698299311 Enrollment ID: I20250403002048 |
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Gateway Counseling Center, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd Ste A, Cottage Grove, OR 97424 Phone: 541-942-0040 Fax: 541-942-0040 | |
South Lane Mental Health Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
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