Organization Active NPI

Bridge the Gap Counseling LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1467055095
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGE THE GAP COUNSELING LLC
Practice address
6051 Dawn View LN
North Las Vegas, NV 89031-1675
Phone
(702) 415-4079
NPI assigned
Nov 17, 2020
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Quincy Sanders, MFT-INTERNNPI 1184924664
Title
Director
Phone
(702) 415-4079

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 NU Primary

Addresses

Primary practice location

6051 Dawn View LN
North Las Vegas, NV 89031-1675

Mailing address

6051 Dawn View LN
North Las Vegas, NV 89031-1675
Phone (702) 415-4079

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1467055095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 DAWN VIEW LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311675",
            "telephone_number": "702-415-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 DAWN VIEW LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311675",
            "telephone_number": "702-415-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THE GAP COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-415-4079",
        "authorized_official_credential": "MFT-INTERN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.