Organization Active NPI

Bright Sky Counseling, PLLC

  • Mental Health Counselor
  • Troy, MI
National Provider Identifier
1053127399
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIGHT SKY COUNSELING, PLLC
Practice address
990 E South Blvd Ste 250
Troy, MI 48085-1400
Phone
(947) 222-5429
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Michael McKiddy, MA, LPCNPI 1639952435
Title
Ceo/Clinical Psychotherapist
Phone
(586) 381-4020

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 Primary

Addresses

Primary practice location

990 E South Blvd Ste 250
Troy, MI 48085-1400

Mailing address

990 E South Blvd Ste 250
Troy, MI 48085-1400
Phone (947) 222-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128000867 MI Part B Supplier - Clinic/Group Practice 5193203586 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

990 E South Blvd
Ste 250
Troy, MI 48085
Phone (947) 222-5429

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": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1053127399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 E SOUTH BLVD STE 250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851400",
            "telephone_number": "947-222-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 E SOUTH BLVD STE 250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851400",
            "telephone_number": "947-222-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SKY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MCKIDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "586-381-4020",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.

Verify at the official NPI Registry.