Organization Active NPI

Bridge Counseling Associates, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1659918241
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGE COUNSELING ASSOCIATES, INC
Practice address
4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone
(702) 474-6450
Fax
(702) 474-6463
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Esther Flores
Title
Credentialing Specialist
Phone
(702) 474-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4221 McLeod Dr
Las Vegas, NV 89121-5215

Mailing address

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450

Other identifiers 1

IdentifierTypeStateIssuer
250005387MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Bridge Counseling Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 Alta Dr
Ste 4
Las Vegas, NV 89106
Phone (702) 474-6450

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1659918241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ALTA DR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064165",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE COUNSELING ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-474-6450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250005387",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 20, 2024; 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.