Organization Active NPI

Brighttrail Therapy LLC

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1093694473
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIGHTTRAIL THERAPY LLC
Practice address
128 Paseo Vista Loop NE
Rio Rancho, NM 87124-4526
Phone
(850) 543-4938
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Marc W RobsonNPI 1700306735
Title
Agent
Phone
(850) 543-4938

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

128 Paseo Vista Loop NE
Rio Rancho, NM 87124-4526

Mailing address

128 Paseo Vista Loop NE
Rio Rancho, NM 87124-4526
Phone (850) 543-4938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250925002243 NM Part B Supplier - Clinic/Group Practice 1153826656 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Rancho, NM

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1093694473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PASEO VISTA LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244526",
            "telephone_number": "850-543-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PASEO VISTA LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244526",
            "telephone_number": "850-543-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTTRAIL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "850-543-4938"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.