Bridge Street Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRIDGE STREET COUNSELING

Practice address

203 Telluride St Unit 600
Brighton, CO 80601-4366

Phone

(720) 263-2256

Fax

(303) 659-8803

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Charles Deshazer, LMFT, LAC

Title

Owner

Phone

(720) 263-2256

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1194376988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TELLURIDE ST UNIT 600",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014366",
            "telephone_number": "720-263-2256",
            "fax_number": "303-659-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TELLURIDE ST UNIT 600",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014366",
            "telephone_number": "720-263-2256",
            "fax_number": "303-659-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE STREET COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DESHAZER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-263-2256",
        "authorized_official_credential": "LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MFT1617",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTION COUNSELOR",
            "identifier": "ACD234",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bridgestreetcounseilng.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "203 Telluride St Unit 600",
            "city": "Brighton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806014366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lynn Brangoccio, MA. LPC
• Caley Braun, LCSW
• Avery Elizabeth Breidenbach, RN
• Karen Yonne Bren, OTR
• Rachel Brich, FNP-C
• Bridge Street Dental, PLLC
• Angela Sabine Briggs, MT
• Bright Life Massage LLC
• Brighter Days Home Care Inc
• Brighton Center for Sleep Disorders LLC

• Adult Mental Health Clinic/Center in Brighton, CO
• Providers in Brighton, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.