NPIMap

Organization Active NPI

Bridges Community Services Inc

  • Mental Health Counselor
  • Murrieta, CA
National Provider Identifier
1245009612
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIDGES COMMUNITY SERVICES INC
Practice address
41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998
Phone
(951) 290-7210
NPI assigned
Dec 27, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Hayley A Venard
Title
Executive Director
Phone
(951) 290-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998

Mailing address

41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998
Phone (951) 290-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, VA, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20240307000325 IN Part B Supplier - Clinic/Group Practice 4688010127 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN
O20240329000109 OH Part B Supplier - Clinic/Group Practice 4688010127 Receives reassigned benefits from 7 practitioners
Practice locations: Upper Sandusky, OH
O20240416002888 VA Part B Supplier - Clinic/Group Practice 4688010127 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, VA
O20251120000692 IA Part B Supplier - Clinic/Group Practice 4688010127 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1245009612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626998",
            "telephone_number": "951-290-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626998",
            "telephone_number": "951-290-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "VENARD",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-290-7210"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.