BRIDGING LYFE PLLC — NPI 1528781135 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in LANSING, IL)

CMS-1500 Box 24J / 33a • NPI

1528781135

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0855X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2816 188TH ST, LANSING, IL, 60438-3402

✓ 9-Digit EDI 837 ZIP+4 (60438-3402)

Practice Phone & Referral Fax

(708) 734-5255

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528781135 (BRIDGING LYFE PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528781135` (NPI-2 Organization / Facility)
Provider / Legal Name	BRIDGING LYFE PLLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0855X` (Clinic/Center, Adolescent and Children Mental Health)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2816 188TH ST, LANSING, IL, 60438-3402
Practice Telephone / Fax	Tel: (708) 734-5255
Administrative Mailing Address	20280 GOVERNORS HWY STE 206, OLYMPIA FIELDS, IL, 60461-1068
Enumeration & Last Sync	Enumerated: 2022-09-20 \| CMS Record Updated: 2025-07-16
Authorized Official	IONA DADZIE (LCSW)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2816 188TH ST, LANSING, IL, 60438-3402

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Plain-English Taxonomy & CMS Crosswalk (261QM0855X)

What Does Taxonomy Code 261QM0855X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0855X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIDGING LYFE PLLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRIDGING LYFE PLLC (NPI #1528781135)