Active NPI
Five Bridges Counseling Services LLC
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1154145134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FIVE BRIDGES COUNSELING SERVICES LLC
- Practice address
- 2415 Barton Ave
Richmond, VA 23222-4415 - Phone
- (804) 241-4931
- NPI assigned
- Nov 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Dahl, LPC
- Title
- Registered Agent
- Phone
- (804) 241-4931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2415 Barton Ave
Richmond, VA 23222-4415
Mailing address
701 E Franklin Street
Suite 105 #1367
Richmond, VA 23219
Phone (804) 241-4931
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1154145134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E FRANKLIN STREET",
"address_2": "SUITE 105 #1367",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-241-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 BARTON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232224415",
"telephone_number": "804-241-4931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE BRIDGES COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "DAHL",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "804-241-4931",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.