Bridge of Hope Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20151113773 Issued in NV

Legal business name

BRIDGE OF HOPE COUNSELING

Practice address

5258 S Eastern Ave
105
Las Vegas, NV 89119-2326

Phone

(702) 464-5080

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Raymond Lavender

Title

Director of Client Services

Phone

(702) 464-5080

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bridge of Hope Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bridge of Hope Counseling Pca

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1043729858
  NPD tax ID

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1417349127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE",
            "address_2": "105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192326",
            "telephone_number": "702-464-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE",
            "address_2": "105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192326",
            "telephone_number": "702-464-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "702-464-5080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20151113773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902198559",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Counseling Associates, Inc
• Bridge Counseling Associates, Inc
• Bridge Health Services
• Bridge Medical LLC
• Bridge of Hope Counseling
• Bridge of Hope Counseling Pca
• Bridge the Gap
• Bridge the Gap LLC
• Bridges Youth and Family Services LLC
• Aaliyah Bridges

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.