49TH Bridge Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

49TH BRIDGE COUNSELING LLC

Practice address

213 N Stephanie St Ste G288
Henderson, NV 89074-8117

Phone

(907) 771-0536

Fax

(888) 467-5306

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By 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

Theresa M Ronco

Title

Manager

Phone

(907) 748-9890

Specialties & licenses 2

Addresses

Other names 1

• 49TH BRIDGE COUNSELING Other name

Locations

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.

• Shane L Chapple, MS, LPC

  • Professional Counselor
  • Anchorage, AK
  • NPI 1720379118
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1942988852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N STEPHANIE ST STE G288",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748117",
            "telephone_number": "907-771-0536",
            "fax_number": "888-467-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N STEPHANIE ST STE G288",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748117",
            "telephone_number": "907-771-0536",
            "fax_number": "888-467-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "49TH BRIDGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RONCO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-748-9890"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "49TH BRIDGE COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.