NPIMap

Organization Active NPI

Bridges Community Services Inc

  • Counselor
  • Murrieta, CA
National Provider Identifier
1508582818
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BRIDGES COMMUNITY SERVICES INC
Practice address
41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998
Phone
(951) 290-7210
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Hayley Venard
Title
Executive Director
Phone
(951) 290-7210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998

Mailing address

41197 Golden Gate Cir Ste 104
Murrieta, CA 92562-6998
Phone (951) 290-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IA, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20221116002375 CA Part B Supplier - Clinic/Group Practice 7214305671 Receives reassigned benefits from 2 practitioners
Practice locations: Murrieta, CA
O20221117002074 IA Part B Supplier - Clinic/Group Practice 7214305671 Receives reassigned benefits from 2 practitioners
Practice locations: West Des Moines, IA
O20221117002704 MO Part B Supplier - Clinic/Group Practice 7214305671 Receives reassigned benefits from 3 practitioners
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

8032 22nd Ave
Kenosha, WI 53143
Phone (951) 290-7570

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1508582818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626998",
            "telephone_number": "951-290-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626998",
            "telephone_number": "951-290-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "VENARD",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-290-7210"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.