Organization Active NPI

Five Bridges Counseling Services LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1154145134
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Nov 14, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.