COMMUNITY BRIDGES, INC
NPI 1801402417
Counselor in New Bedford, MA

NPI Status: Active since September 18, 2020

Contact Information

720 COUNTY ST
NEW BEDFORD, MA
ZIP 02740
Phone: (586) 567-2090

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  • Organization
  • Counselor
  • CLIA Number: 22D2141306
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT PROG
  • CLIA Exp. Date: 12-11-2025

About COMMUNITY BRIDGES, INC

This page provides the complete NPI Profile along with additional information for Community Bridges, Inc, a provider established in New Bedford, Massachusetts operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1801402417 assigned on September 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Community Bridges, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Carolyn Burke Mft (President)

NPI
1801402417
Provider Name
COMMUNITY BRIDGES, INC
Entity Type
Organization
Location Address
720 COUNTY ST NEW BEDFORD, MA 02740
Location Phone
(586) 567-2090
Mailing Address
720 COUNTY ST NEW BEDFORD, MA 02740
Mailing Phone
(586) 567-2090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2020
Last Update Date
12-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2101YP1600XBehavioral Health & Social Service Providers

Counselor
Pastoral

 
3103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAROLYN BURKE MFT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(508) 656-7209

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2141306
Facility Type
Other - OUTPATIENT TREATMENT PROG
Certificate Effective Date
December 12, 2023
Certificate Expiration Date
December 11, 2025
Laboratory Director
GARY COLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Bridges, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY BRIDGES, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801402417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280180442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 0 + 4 + 4 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1801402417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871173393 JENNIFER MORRIS-PINA MLC
Individual
Health and Wellness Coach720 COUNTY ST
NEW BEDFORD, MA 02740
(508) 296-8051
1720679988 CAROLYN BURKE LMFT
Individual
Marriage & Family Therapist720 COUNTY ST
NEW BEDFORD, MA 02740
(508) 296-8051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801402417, enumerated in the NPI registry as an "organization" on September 18, 2020

The provider is located at 720 County St New Bedford, Ma 02740 and the phone number is (586) 567-2090

This medical organization specializes in Counselor with taxonomy code 101Y00000X

The provider's CLIA number is 22D2141306 for a "other - outpatient treatment prog" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 18, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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