Active NPI
Mending Broken Bridges Counseling Services PLLC
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1821992819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENDING BROKEN BRIDGES COUNSELING SERVICES PLLC
- Practice address
- Cs6091728
Greensboro, NC 27409 - Phone
- (252) 327-2728
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 6, 2026
- 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
- Jakira Miller, LCMHC,LCAS
- Title
- Owner
- Phone
- (252) 327-2728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Cs6091728
Greensboro, NC 27409
Mailing address
3209 Stoneburg CT Apt B
Greensboro, NC 27409-8807
Phone (252) 327-2728
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Greensboro, NC
- NPI 1093401010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1821992819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 STONEBURG CT APT B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274098807",
"telephone_number": "252-327-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CS6091728",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27409",
"telephone_number": "252-327-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDING BROKEN BRIDGES COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JAKIRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-327-2728",
"authorized_official_credential": "LCMHC,LCAS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.