NPIMap

Organization Active NPI

Project Ember Initiative

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1720797327
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PROJECT EMBER INITIATIVE
Practice address
1785 N Academy Blvd Ste 100
Colorado Springs, CO 80909-2733
Phone
(719) 246-5693
NPI assigned
Nov 22, 2022
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Kyle Bridgman, LMFTNPI 1477040905
Title
Ceo / Clinical Director
Phone
(719) 246-5693

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1785 N Academy Blvd Ste 100
Colorado Springs, CO 80909-2733

Mailing address

1785 N Academy Blvd Ste 100
Colorado Springs, CO 80909-2733
Phone (719) 246-5693

National Provider Directory

National Provider Directory

Locations

1785 N Academy Blvd
Ste 100
Colorado Springs, CO 80909
Phone (719) 246-5693

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1720797327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 N ACADEMY BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092733",
            "telephone_number": "719-246-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 N ACADEMY BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092733",
            "telephone_number": "719-246-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT EMBER INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "BRIDGMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-246-5693",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.