NPIMap

Organization Active NPI

Rock Bridge Counseling

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1750504569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2423 Issued in NE
Legal business name
ROCK BRIDGE COUNSELING
Practice address
1032 E 3Rd St
Fremont, NE 68025-6334
Phone
(402) 720-4518
Fax
(402) 727-6790
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christy Jean Meyer, LMHP
Title
Director
Phone
(402) 720-4518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2423 NE Primary

Addresses

Primary practice location

1032 E 3Rd St
Fremont, NE 68025-6334

Mailing address

1032 E 3Rd St
Fremont, NE 68025-6334
Phone (402) 720-4518

Other identifiers 1

IdentifierTypeStateIssuer
10025444400MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750504569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E 3RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680256334",
            "telephone_number": "402-720-4518",
            "fax_number": "402-727-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 E 3RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680256334",
            "telephone_number": "402-720-4518",
            "fax_number": "402-727-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK BRIDGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-720-4518",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025444400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.