NPIMap

Organization Active NPI

Bridge to Awareness Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
National Provider Identifier
1962647685
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1110-02 Issued in CO
Legal business name
BRIDGE TO AWARENESS COUNSELING CENTER
Practice address
310 W C St
Pueblo, CO 81003-3409
Phone
(719) 296-1366
Fax
(719) 296-6825
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mr. Steve Darr
Title
Director
Phone
(719) 471-2514

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1110-02 CO Primary
Community/Behavioral Health Agency 251S00000X 1110-02 CO

Addresses

Primary practice location

310 W C St
Pueblo, CO 81003-3409

Mailing address

310 W C St
Pueblo, CO 81003-3409
Phone (719) 296-1366

Other identifiers 1

IdentifierTypeStateIssuer
04433262MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Bridge to Awareness Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 W C St
Pueblo, CO 81003
Phone (719) 296-1366

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1962647685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W C ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033409",
            "telephone_number": "719-296-1366",
            "fax_number": "719-296-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W C ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033409",
            "telephone_number": "719-296-1366",
            "fax_number": "719-296-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO AWARENESS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-471-2514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1110-02",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1110-02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04433262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.