Active NPI
Bridges Counseling Center LLC
- Professional Counselor
- Bend, OR
National Provider Identifier
1336787480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BRIDGES COUNSELING CENTER LLC
- Practice address
- 255 SW Bluff Dr # 100
Bend, OR 97702-3220 - Phone
- (503) 327-4049
- NPI assigned
- Dec 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall S Krieger
- Title
- Owner
- Phone
- (503) 327-4049
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
255 SW Bluff Dr # 100
Bend, OR 97702-3220
Mailing address
60808 Scotts Bluff PL
Bend, OR 97702-2981
Phone (503) 327-4049
National Provider Directory
National Provider DirectoryLocations
255 SW Bluff Dr
Ste 100
Bend, OR 97702
Phone (503) 327-4049
852 SW 15th St
Redmond, OR 97756
Phone (541) 408-7740
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Redmond, OR
- NPI 1073043915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1336787480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60808 SCOTTS BLUFF PL",
"city": "BEND",
"state": "OR",
"postal_code": "977022981",
"telephone_number": "503-327-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SW BLUFF DR # 100",
"city": "BEND",
"state": "OR",
"postal_code": "977023220",
"telephone_number": "503-327-4049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES COUNSELING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-18",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "KRIEGER",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-327-4049"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.