NPIMap

Organization Active NPI

Bridge to Awareness Counseling Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
National Provider Identifier
1447389382
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1110-00 Issued in CO
Legal business name
BRIDGE TO AWARENESS COUNSELING CENTER, INC
Practice address
129 W Costilla St
Colorado Springs, CO 80903-3813
Phone
(719) 471-2514
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Charles Stephen Darr, CAC IIINPI 1043647449
Title
Executive Director
Phone
(719) 471-2514

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1110-00 CO Primary

Addresses

Primary practice location

129 W Costilla St
Colorado Springs, CO 80903-3813

Mailing address

129 W Costilla St
Colorado Springs, CO 80903-3813
Phone (719) 471-2514

Other identifiers 1

IdentifierTypeStateIssuer
95527338MedicaidCO

National Provider Directory

National Provider Directory

Locations

520 W Colorado Ave
Colorado Springs, CO 80905
Phone 719471251411

129 W Costilla St
Colorado Springs, CO 80903
Phone (719) 471-2514

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1447389382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033813",
            "telephone_number": "719-471-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033813",
            "telephone_number": "719-471-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO AWARENESS COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-471-2514",
        "authorized_official_credential": "CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1110-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95527338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.