NPIMap

Organization Active NPI

Bridge Counseling Associates, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1740728716
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
N35-00004 Issued in NV
Legal business name
BRIDGE COUNSELING ASSOCIATES, INC
Practice address
1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone
(702) 474-6450
Fax
(702) 474-6463
NPI assigned
Feb 9, 2017
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Esther Flores
Title
Credentialing Specialist
Phone
(702) 474-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X N35-00004 NV Primary

Addresses

Primary practice location

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165

Mailing address

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450

Other identifiers 1

IdentifierTypeStateIssuer
100535044MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131003106 NV Part B Supplier - Clinic/Group Practice 4486914975 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1740728716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ALTA DR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064165",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ALTA DR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064165",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE COUNSELING ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-474-6450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "N35-00004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100535044",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.