Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Bridget Anne Dedelow

Individual provider Mental Health Counselor · NPI 1376219758

Miss. Bridget Anne Dedelow is a Mental Health Counselor in Springfield, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320
Phone: (541) 818-0009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Bertholet Blvd Ste 301, Valparaiso, IN 46383-7959 — (219) 323-3311

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1376219758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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