NPIMap

Organization Active NPI

A Bridge to Recovery

  • Mental Health Counselor
  • Ridgeland, MS
National Provider Identifier
1972631141
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1225 Issued in MS
Legal business name
A BRIDGE TO RECOVERY
Practice address
361 Towne Center Blvd
Ste 1300
Ridgeland, MS 39157-4863
Phone
(601) 977-9353
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. Scott Richard Gilbert
Title
President
Phone
(601) 977-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1225 MS Primary

Addresses

Primary practice location

361 Towne Center Blvd
Ste 1300
Ridgeland, MS 39157-4863

Mailing address

361 Towne Center Blvd
Ste 1300
Ridgeland, MS 39157-4863
Phone (601) 977-9353

National Provider Directory

National Provider Directory

Locations

361 Towne Center Blvd
Ste 1300
Ridgeland, MS 39157
Phone (601) 977-9353

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1972631141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER BLVD",
            "address_2": "STE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574863",
            "telephone_number": "601-977-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER BLVD",
            "address_2": "STE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574863",
            "telephone_number": "601-977-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIDGE TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-977-9353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.