Active NPI
Small Bridges Counseling
- Clinical Social Worker
- Mount Vernon, KY
National Provider Identifier
1609466887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SMALL BRIDGES COUNSELING
- Practice address
- 1562 Sand Springs Rd
Mount Vernon, KY 40456-9060 - Phone
- (785) 375-4439
- NPI assigned
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason M
- Title
- Office Manager 1
- Phone
- (785) 375-4439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1562 Sand Springs Rd
Mount Vernon, KY 40456-9060
Mailing address
1562 Sand Springs Rd
Mount Vernon, KY 40456-9060
Phone (785) 375-4439
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620518400000",
"number": "1609466887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 SAND SPRINGS RD",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404569060",
"telephone_number": "785-375-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 SAND SPRINGS RD",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404569060",
"telephone_number": "785-375-4439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL BRIDGES COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A",
"authorized_official_last_name": "M",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OFFICE MANAGER 1",
"authorized_official_telephone_number": "785-375-4439",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.