Bridge Counseling Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE COUNSELING INC

Practice address

1214 Ellis Ave
Lufkin, TX 75904-3326

Phone

(936) 637-0074

Fax

(936) 637-0081

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David William Meyer, LPC

Title

Licensed Professional Counselor

Phone

(936) 637-0074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902959729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-637-0074",
            "fax_number": "936-637-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-637-0074",
            "fax_number": "936-637-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "936-637-0074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.