NEW ROOTS BRIDGEWAY LLC NPI 1174264808

NPI Information

  • NPI: 1174264808
  • Provider Name: NEW ROOTS BRIDGEWAY LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 4208 E CENTRAL AVE
    WICHITA, KS
    ZIP 67208
  • Phone: (316) 351-8280

Map and Directions

Get Directions

NPI Details

NEW ROOTS BRIDGEWAY LLC is a marriage family therapist in Wichita, KS. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. NEW ROOTS BRIDGEWAY LLC NPI is 1174264808. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4208 E CENTRAL AVE
WICHITA, KS
ZIP 67208-822
Phone: (316) 351-8280

The provider's authorized official is Ashlea Nicholson .
The authorized official title is Ceo and has the following contact phone number (785) 342-0437.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 2/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4103T00000XPsychologistNo
5104100000XSocial WorkerNo
6106H00000XMarriage & Family TherapistYes
7171M00000XCase Manager/Care CoordinatorNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI