Organization Active NPI

My Bright Future, LLC

  • Prescribing (Medical) Psychologist
  • Houston, TX
National Provider Identifier
1225549413
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
MY BRIGHT FUTURE, LLC
Practice address
2626 S Loop W Ste 430
Houston, TX 77054-2649
Phone
(713) 589-5363
Fax
(713) 589-3608
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Ms. Ameisha Scott, NURSE PRACTITIONERNPI 1851609028
Title
Manager
Phone
(713) 589-5363

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
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X Primary

Addresses

Primary practice location

2626 S Loop W Ste 430
Houston, TX 77054-2649

Mailing address

2626 S Loop W Ste 430
Houston, TX 77054-2649
Phone (713) 589-5363

Other practice location 1

5601 Bridge St # 304A
Fort Worth, TX 76112-2384
Phone (817) 941-0441

Other identifiers 2

IdentifierTypeStateIssuer
1851609028OtherTXNPI
1891096426OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171121002216 TX Part B Supplier - Clinic/Group Practice 0648537936 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2173634My Bright Future, LLC2626 S Loop W #545, Houston, TX 77054Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

5601 Bridge St
#304A
Fort Worth, TX 76112
Phone (817) 941-0441

2616 S Loop W
Ste 305C
Houston, TX 77054
Phone (817) 706-8415

Practitioners & affiliated clinicians

Practitioners 6

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1225549413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542649",
            "telephone_number": "713-589-5363",
            "fax_number": "713-589-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542649",
            "telephone_number": "713-589-5363",
            "fax_number": "713-589-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Bridge St # 304A",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761122384",
            "country_code": "US",
            "telephone_number": "817-941-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY BRIGHT FUTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "AMEISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-589-5363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851609028",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891096426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.