Project Ember Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PROJECT EMBER COUNSELING

Practice address

1722 E Dale St
Colorado Springs, CO 80909-4617

Phone

(205) 381-7344

NPI assigned

Feb 4, 2021

Organization subpart

Yes

Parent organization

PROJECT EMBER COUNSELINGAs reported in NPPES

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

Authorized official

Name

Mr. Kyle Bridgman, LMFTNPI 1477040905

Title

Owner / President

Phone

(719) 246-5693

Specialties & licenses 1

Addresses

Tax ID family

Project Ember Counseling2 organizations share this tax ID, including this one

Part of

Project Ember Counseling

Other organizations with this tax ID 1

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

• Project Ember Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1720600455
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Project Ember Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1720600455
  NPPES parent name

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.

• Kyle David Bridgman, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1477040905
  NPD Authorized official

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1164014783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 MONTEBELLO DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187224",
            "telephone_number": "719-246-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E DALE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094617",
            "telephone_number": "205-381-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT EMBER COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROJECT EMBER COUNSELING",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BRIDGMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "719-246-5693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.