Active NPI
Bright Star Counseling and Consulting, LLC
- Professional Counselor
- Towson, MD
National Provider Identifier
1013537273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BRIGHT STAR COUNSELING AND CONSULTING, LLC
- Practice address
- 200 E Joppa Rd Ste 402
Towson, MD 21286-3109 - Phone
- (443) 862-2646
- NPI assigned
- Apr 17, 2020
- Last updated
- Apr 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Raymond Lishman, LCPC
- Title
- Owner
- Phone
- (443) 862-2646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
200 E Joppa Rd Ste 402
Towson, MD 21286-3109
Mailing address
200 E Joppa Rd Ste 402
Towson, MD 21286-3109
Phone (443) 862-2646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240105002195 | MD | Part B Supplier - Clinic/Group Practice | 0143671958 | Practice locations: Towson, MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Towson, MD
- NPI 1568406577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587081600000",
"number": "1013537273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E JOPPA RD STE 402",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863109",
"telephone_number": "443-862-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E JOPPA RD STE 402",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863109",
"telephone_number": "443-862-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT STAR COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A",
"authorized_official_last_name": "LISHMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-862-2646",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.