Active NPI
Bridging Resilience Counseling Services
- Adult Mental Health Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1740686252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.