Project Ember Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PROJECT EMBER COUNSELING

Practice address

4360 Montebello Dr Ste 400
Colorado Springs, CO 80918-7224

Phone

(719) 246-5693

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Kyle Bridgman, LMFTNPI 1477040905

Title

Owner/President

Phone

(719) 246-5693

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Project Ember Counseling2 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.

• Project Ember Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1164014783
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Project Ember Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1164014783
  NPPES parent name

Practitioners 1

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

• Kyle David Bridgman, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1477040905
  NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1720600455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 MONTEBELLO DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187224",
            "telephone_number": "719-246-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 MONTEBELLO DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187224",
            "telephone_number": "719-246-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 E Dale St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809094617",
            "country_code": "US",
            "telephone_number": "205-381-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROJECT EMBER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "BRIDGMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "719-246-5693",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000182092",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.