| Bridge Counseling Associates, Inc | |
|
1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 | |
| (702) 474-6450 | |
| (702) 474-6463 |
| Full Name | Bridge Counseling Associates, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1640 Alta Dr Ste 4, Las Vegas, Nevada |
| Authorized Official Name and Position | Esther Flores (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7024746450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Counseling Associates, Inc 1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 Ph: (702) 474-6450 | Bridge Counseling Associates, Inc 1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 Ph: (702) 474-6450 |
| NPI Number | 1740728716 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 4486914975 |
|---|---|
| Medicare Enrollment ID | O20180131003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740728716 | NPI | - | NPPES |
| 100535044 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | N35-00004 (Nevada) | Primary |
| Provider Name | Nabil M Jouni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790700201 PECOS PAC ID: 9931183100 Enrollment ID: I20040615001444 |
| Provider Name | Rhone D'errico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740530328 PECOS PAC ID: 8628208378 Enrollment ID: I20140226000534 |
| Provider Name | Billy Escaba Leonardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588174361 PECOS PAC ID: 1759644586 Enrollment ID: I20180409002799 |
| Provider Name | Margreat T Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504261 PECOS PAC ID: 7214281278 Enrollment ID: I20181112000954 |
| Provider Name | Colin Michael Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134645989 PECOS PAC ID: 1658600549 Enrollment ID: I20190830002142 |
| Provider Name | Chrystal B Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841593969 PECOS PAC ID: 5294150348 Enrollment ID: I20200806000555 |
| Provider Name | Maria D Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033781158 PECOS PAC ID: 2668878117 Enrollment ID: I20210908002253 |
| Provider Name | Irma Mandujano-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962158642 PECOS PAC ID: 9638556939 Enrollment ID: I20220505002245 |
| Provider Name | Christiane N Wilson-dunlap |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467732891 PECOS PAC ID: 4789120692 Enrollment ID: I20240726001206 |
| Provider Name | Mario Ortiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457766453 PECOS PAC ID: 3870030232 Enrollment ID: I20240802000777 |
| Provider Name | Skylar Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588333264 PECOS PAC ID: 9931637055 Enrollment ID: I20250116001870 |
| Provider Name | Landon Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881207512 PECOS PAC ID: 5395275580 Enrollment ID: I20250203002337 |
| Provider Name | Daniel Paul Ficalora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063719813 PECOS PAC ID: 0840720017 Enrollment ID: I20250204001889 |
| Provider Name | Megan Tennent |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235512419 PECOS PAC ID: 2769912427 Enrollment ID: I20250211000092 |
| Provider Name | Kristi Sessions |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750854923 PECOS PAC ID: 6305376013 Enrollment ID: I20250211001854 |
| Provider Name | Ryan Tobler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447558887 PECOS PAC ID: 7113447228 Enrollment ID: I20250219003037 |
| Provider Name | Priscilla Alejandra Arguello |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205328853 PECOS PAC ID: 0648790592 Enrollment ID: I20250221001136 |
| Provider Name | Cynthia Mota |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649562943 PECOS PAC ID: 0749700110 Enrollment ID: I20250228001421 |
| Provider Name | Maria Adela Krause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205106028 PECOS PAC ID: 6103347083 Enrollment ID: I20250307001272 |
| Provider Name | Kimberly J Rubalcava |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770042269 PECOS PAC ID: 3375065832 Enrollment ID: I20250313003697 |
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