NPIMap

Organization Active NPI

The Bridge of the Carolinas

  • Professional Counselor
  • Albemarle, NC
National Provider Identifier
1689769127
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5172 Issued in NC
Legal business name
THE BRIDGE OF THE CAROLINAS
Practice address
232 Concord Rd
Albemarle, NC 28001-4612
Phone
(704) 985-3904
Fax
(704) 322-4039
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mrs. Karen Aaron Bilbo, LPC
Title
Counselor
Phone
(704) 983-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5172 NC Primary

Addresses

Primary practice location

232 Concord Rd
Albemarle, NC 28001-4612

Mailing address

P.O. Box 1866
Albemarle, NC 28002-1866
Phone (704) 983-0911

Other identifiers 1

IdentifierTypeStateIssuer
6006498MedicaidNC

National Provider Directory

National Provider Directory

Locations

232 Concord Rd
Albemarle, NC 28001
Phone (704) 986-3900

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1689769127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1866",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280021866",
            "telephone_number": "704-983-0911",
            "fax_number": "704-322-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CONCORD RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014612",
            "telephone_number": "704-985-3904",
            "fax_number": "704-322-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BILBO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "704-983-0911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.