Organization Active NPI

Bridge Builders Mediation and Family Services

  • Pastoral Counselor
  • Jacksonville, FL
National Provider Identifier
1457788069
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
BRIDGE BUILDERS MEDIATION AND FAMILY SERVICES
Practice address
1460 Cassat Ave Ste B
Jacksonville, FL 32205-7202
Phone
(904) 338-6435
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Cynthia Ann Simpson, PH. D.
Title
Ceo
Phone
(904) 300-6563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X Primary

Addresses

Primary practice location

1460 Cassat Ave Ste B
Jacksonville, FL 32205-7202

Mailing address

PO Box 6763
Jacksonville, FL 32236-6763
Phone (904) 338-6435

National Provider Directory

National Provider Directory

Locations

1460 Cassat Ave
#B
Jacksonville, FL 32205
Phone (904) 338-6435

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1457788069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6763",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322366763",
            "telephone_number": "904-338-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 CASSAT AVE STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057202",
            "telephone_number": "904-338-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE BUILDERS MEDIATION AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-300-6563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.