Active NPI
Bridge Counseling Associates, Inc
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1659918241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250005387 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Bridge Counseling Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1447714076
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.