Organization Active NPI

Bridge Counseling & Consultation Services PLLC

  • Psychologist
  • Seattle, WA
National Provider Identifier
1720792948
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BRIDGE COUNSELING & CONSULTATION SERVICES PLLC
Practice address
3876 Bridge Way N
Seattle, WA 98103-7951
Phone
(206) 745-5234
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Yoko Shibata, PH.D.NPI 1093113730
Title
Licensed Psychologist
Phone
(206) 745-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3876 Bridge Way N
Seattle, WA 98103-7951

Mailing address

14337 24TH Ave NE
Seattle, WA 98125-3403
Phone (206) 745-2344

National Provider Directory

National Provider Directory

Locations

3876 Bridge Way N
Seattle, WA 98103
Phone (206) 681-7586

Practitioners & affiliated clinicians

Practitioners 1

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": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1720792948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14337 24TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253403",
            "telephone_number": "206-745-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 BRIDGE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037951",
            "telephone_number": "206-745-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE COUNSELING & CONSULTATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SHIBATA",
        "authorized_official_first_name": "YOKO",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-745-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.