Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bridgewater Counseling Services, LLC

Clinical Social Worker in Breese, IL · enumerated 2020 · authorized official Renee Keller, Psychotherapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144847880

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Registry record

Entity type Organization (Type 2)

Legal business name Bridgewater Counseling Services, LLC

Practice address 10551 Vonder Haar Ln, Breese, IL, 62230

Phone (618) 520-3339

Enumeration date Jun 29, 2020

Last updated in NPPES Jul 9, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Renee Keller

Title Psychotherapist

Phone (618) 520-3339

Other identifiers

Identifier	Type	State	Issuer
1487841714	Other	-	NPI
2012036897	Other	MO	PROFESSIONAL CLINICAL SOCIAL WORK LICENSE
149015007	Other	IL	PROFESSIONAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Bridgewater Counseling Services, LLC?

Bridgewater Counseling Services, LLC is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).

Providers at this address

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Renee Keller Clinical Social Worker · Breese, IL NPI 1487841714

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-09.