Organization Active NPI

Bridging Resilience Counseling Services

  • Adult Mental Health Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1740686252
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRIDGING RESILIENCE COUNSELING SERVICES
Practice address
774 E 2100 S Ste 101
Salt Lake City, UT 84106-1863
Phone
(801) 842-9317
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Jacob Eugene Jacquez, LCSW
Title
Owner
Phone
(801) 842-9317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

774 E 2100 S Ste 101
Salt Lake City, UT 84106-1863

Mailing address

774 E 2100 S Ste 101
Salt Lake City, UT 84106-1863
Phone (801) 842-9317

National Provider Directory

National Provider Directory

Locations

774 E 2100 S
Ste 101
Salt Lake City, UT 84106
Phone (801) 842-9317

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1740686252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 E 2100 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061863",
            "telephone_number": "801-842-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 E 2100 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061863",
            "telephone_number": "801-842-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING RESILIENCE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "JACQUEZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-842-9317",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.