Bridge to Awareness Counseling Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1110-01 Issued in CO

Legal business name

BRIDGE TO AWARENESS COUNSELING CENTER

Practice address

5698 S Hwy 85
Suite 104
Colorado Springs, CO 80911-1465

Phone

(719) 390-4652

Fax

(719) 690-4126

NPI assigned

Dec 9, 2008

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Darr

Title

Director

Phone

(719) 471-2514

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bridge to Awareness Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridge to Awareness Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
  • NPI 1962647685
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luther J Hendersen, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1760627269
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1043455769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5698 S HWY 85 # 87",
            "address_2": "SUITE 104 AND 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111465",
            "telephone_number": "719-390-4652",
            "fax_number": "719-390-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5698 S HWY 85",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111465",
            "telephone_number": "719-390-4652",
            "fax_number": "719-690-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO AWARENESS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-471-2514"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1110-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39558258",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Brickell, PHARMD
• Sarah Camiell Brickens
• Pamela Ann Bricker
• Michelle Lynn Brickler, DPT
• Cameron Brickman
• Bridge to Awareness Counseling Center, Inc
• Bridge2Dream, LLC
• Brian Bridgeford Jr., BSN, RN
• Jessica Bridgers
• Bridges Community Homecare of Colorado Springs, LLC (Envision Healthcare at Home)

• Addiction (Substance Use Disorder) Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.