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Bridgette Marie Eastman, PHD, LP, LPCC

NPI 1154898351ActiveIndividual· Psychologist, Clinical· Moorhead, MN

Psychologist, Clinical (PHD, LP, LPCC) with Nystrom and Associates Ltd, practicing in Moorhead, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1154898351
StatusActive
Entity typeIndividual
CredentialPHD, LP, LPCC
Sole proprietorNo
NPI issuedOct 26, 2018
Last updated in NPPESOct 1, 2026
Certified by providerOct 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700XLP7411MN
Counselor, Mental Health101YM0800XCC01935MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (MN)

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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