Organization Active NPI

Bridging Connections Family Counseling Inc

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1861026163
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BRIDGING CONNECTIONS FAMILY COUNSELING INC
Practice address
419 Elizabeth St Ste 4
Vacaville, CA 95688-4602
Phone
(707) 761-1153
Fax
(707) 334-2155
NPI assigned
Feb 25, 2020
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Carol S Andrews, MFTNPI 1376995308
Title
Owner
Phone
(707) 761-1153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

419 Elizabeth St Ste 4
Vacaville, CA 95688-4602

Mailing address

172 Silver Eagle Way
Vacaville, CA 95688-1012
Phone (707) 761-1153

Other identifiers 1

IdentifierTypeStateIssuer
8845242MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220001740 CA Part B Supplier - Clinic/Group Practice 1456795285 Receives reassigned benefits from 1 practitioner
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

419 Elizabeth St
Ste 4
Vacaville, CA 95688
Phone (707) 447-4417

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1861026163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SILVER EAGLE WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956881012",
            "telephone_number": "707-761-1153",
            "fax_number": "707-334-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST STE 4",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-761-1153",
            "fax_number": "707-334-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING CONNECTIONS FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-761-1153",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8845242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.