Active NPI
Bright Aura Therapy and Wellness
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1023859352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- BRIGHT AURA THERAPY AND WELLNESS
- Practice address
- 2040 Raybrook St SE Ste 302
Grand Rapids, MI 49546-7718 - Phone
- (616) 437-2197
- NPI assigned
- Jun 3, 2024
- 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
- Stacia Lea Fridley, LMSW
- Title
- Owner
- Phone
- (616) 437-2197
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2040 Raybrook St SE Ste 302
Grand Rapids, MI 49546-7718
Mailing address
10188 76TH St SE
Alto, MI 49302-9640
Phone (616) 437-2197
National Provider Directory
National Provider DirectoryLocations
2040 Raybrook St SE
Ste 302
Grand Rapids, MI 49546
Phone (616) 437-2197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Grand Rapids, MI
- NPI 1386933190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1023859352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10188 76TH ST SE",
"city": "ALTO",
"state": "MI",
"postal_code": "493029640",
"telephone_number": "616-437-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 RAYBROOK ST SE STE 302",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467718",
"telephone_number": "616-437-2197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT AURA THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "FRIDLEY",
"authorized_official_first_name": "STACIA",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-437-2197",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.