Organization Active NPI

Stone Bridge Counseling Center, Inc.

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1982114773
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0013770 Issued in CO
Legal business name
STONE BRIDGE COUNSELING CENTER, INC.
Practice address
3225 Templeton Gap Rd Ste 203
Colorado Springs, CO 80907-8714
Phone
(719) 203-7442
Fax
(719) 325-7075
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Mr. Ray Klein, LPCNPI 1760998389
Title
Therapist
Phone
(719) 203-7442

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC.0013770 CO Primary

Addresses

Primary practice location

3225 Templeton Gap Rd Ste 203
Colorado Springs, CO 80907-8714

Mailing address

PO Box 54
Monument, CO 80132-0054
Phone (719) 203-7442

National Provider Directory

National Provider Directory

Locations

3225 Templeton Gap Rd
Ste 203
Colorado Springs, CO 80907
Phone (719) 203-7442

Practitioners & affiliated clinicians

Practitioners 1

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": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1982114773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801320054",
            "telephone_number": "719-203-7442",
            "fax_number": "719-325-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TEMPLETON GAP RD STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078714",
            "telephone_number": "719-203-7442",
            "fax_number": "719-325-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BRIDGE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "719-203-7442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0013770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.