Brilliant Sky Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

13954 Issued in AZ

Legal business name

BRILLIANT SKY COUNSELING, PLLC

Practice address

2929 N Power Rd
Suite 101
Mesa, AZ 85215-1745

Phone

(602) 753-6841

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Loraine Ann Kern, LPC

Title

Counselor

Phone

(602) 753-6841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1174949937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 E FOUNTAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055566",
            "telephone_number": "480-641-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N POWER RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151745",
            "telephone_number": "602-753-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SKY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "602-753-6841",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "13954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.