Active NPI
Shine Bright Counseling, PLLC
- Clinical Social Worker
- Bruceton Mills, WV
National Provider Identifier
1194565382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SHINE BRIGHT COUNSELING, PLLC
- Practice address
- 30 Sine PL
Bruceton Mills, WV 26525-7410 - Phone
- (724) 880-0182
- NPI assigned
- May 28, 2024
- 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
- Kathleen Reckart
- Title
- Clinical Therapist
- Phone
- (724) 542-2198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
30 Sine PL
Bruceton Mills, WV 26525-7410
Mailing address
30 Sine PL
Bruceton Mills, WV 26525-7410
Phone (724) 880-0182
Other names 2
- Shine Bright
- Shine Bright Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251107001523 | WV | Part B Supplier - Clinic/Group Practice | 3577053545 |
Receives reassigned benefits from 1 practitioner Practice locations: Remote, WV |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1194565382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SINE PL",
"city": "BRUCETON MILLS",
"state": "WV",
"postal_code": "265257410",
"telephone_number": "724-880-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SINE PL",
"city": "BRUCETON MILLS",
"state": "WV",
"postal_code": "265257410",
"telephone_number": "724-880-0182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHINE BRIGHT COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "RECKART",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "724-542-2198"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shine Bright",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shine Bright Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bruceton Mills, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.