Active NPI
Bright Light Therapy LLC
- Speech-Language Pathologist
- Fayetteville, WV
National Provider Identifier
1053226530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Sundstrom, M.S., CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 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.
-
- Speech-Language Pathologist
- Charleston, WV
- NPI 1922745199
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.