Bright Shadows Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIGHT SHADOWS CORPORATION

Practice address

687 US Highway 158 W
Gates, NC 27937-9807

Phone

(252) 751-5103

Fax

(252) 751-5127

NPI assigned

Sep 1, 2025

Organization subpart

No

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

Authorized official

Name

Rondeshya Keyonna Cosby, PMHNPNPI 1184209777

Title

Director

Phone

(252) 263-5787

Specialties & licenses 11

Addresses

Other names 3

• Bright Shadows Corp Doing business as
• Bright Shadows TS Corporation Doing business as
• Bright Shadows Telepsych Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rondeshya Keyonna Cosby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, VA
  • NPI 1184209777
  NPD Authorized official
• Bryanna McKinnon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
  • NPI 1851134027

  Registered Nurse

  NPD (past)

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1184503237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9244",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236700244",
            "telephone_number": "252-751-5103",
            "fax_number": "252-751-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 US HIGHWAY 158 W",
            "city": "GATES",
            "state": "NC",
            "postal_code": "279379807",
            "telephone_number": "252-751-5103",
            "fax_number": "252-751-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "252-751-5103",
            "fax_number": "252-751-5127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Claiborne Sq E Ste 334",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662074",
            "country_code": "US",
            "telephone_number": "252-751-5103",
            "fax_number": "252-751-5127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 S Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094912",
            "country_code": "US",
            "telephone_number": "252-751-5103",
            "fax_number": "252-751-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT SHADOWS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "RONDESHYA",
        "authorized_official_middle_name": "KEYONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-263-5787",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Shadows Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Shadows Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Shadows TS Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Shadows Telepsych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Gates, NC
• Providers in Gates, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.