Active NPI
Chrystal Bright, LPCC-S
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1083002778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E4207
- Practice address
- 750 Derby Ave
Cincinnati, OH 45232-1816 - Phone
- (513) 205-1188
- NPI assigned
- Jan 2, 2015
- Last updated
- Jan 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E4207 | OH | |
| Professional Counselor | 101YP2500X | E4207 | OH | Primary |
Addresses
Primary practice location
750 Derby Ave
Cincinnati, OH 45232-1816
Mailing address
1263 W Galbraith Rd
Cincinnati, OH 45231-5555
Phone (513) 205-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4207 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above the Horizon Services | Professional | Past | Accepting new patients |
Interoperability endpoints
- pbc.chrystalbright@140097.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Cincinnati, OH
- NPI 1508234279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1083002778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 W GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452315555",
"telephone_number": "513-205-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 DERBY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452321816",
"telephone_number": "513-205-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "CHRYSTAL",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E4207",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E4207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.