Organization Active NPI

Bright Light Therapy LLC

  • Speech-Language Pathologist
  • Fayetteville, WV
National Provider Identifier
1053226530
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIGHT LIGHT THERAPY LLC
Practice address
76 Jacobs Avenue
Fayetteville, WV 25840
Phone
(304) 663-1112
NPI assigned
Aug 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Emily Sundstrom, M.S., CCC-SLPNPI 1922745199
Title
Member
Phone
(304) 663-1112

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

76 Jacobs Avenue
Fayetteville, WV 25840

Mailing address

63 S Lee St
Fayetteville, WV 25840-1158

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1053226530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S LEE ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 JACOBS AVENUE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "25840",
            "telephone_number": "304-663-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "SUNDSTROM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-663-1112",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.