NPIMap

Organization Active NPI

Building Bridges Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Oak Hill, VA
National Provider Identifier
1275914822
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0133000345 Issued in VA
Legal business name
BUILDING BRIDGES THERAPEUTIC SERVICES, LLC
Practice address
12523 Woodcock LN
Oak Hill, VA 20171-2502
Phone
(703) 507-9992
NPI assigned
Jun 9, 2015
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Mr. Mark Willer, M.ED., BCBA, LBANPI 1609123835
Title
Owner
Phone
(703) 507-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0133000345 VA Primary

Addresses

Primary practice location

12523 Woodcock LN
Oak Hill, VA 20171-2502

Mailing address

12523 Woodcock LN
Oak Hill, VA 20171-2502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1275914822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 WOODCOCK LN",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201712502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 WOODCOCK LN",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201712502",
            "telephone_number": "703-507-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "WILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-507-9992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0133000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.