Organization Active NPI

Small Bridges Counseling

  • Clinical Social Worker
  • Mount Vernon, KY
National Provider Identifier
1609466887
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 9, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.