NPIMap

Organization Active NPI

Bright Future Community Health Care Services

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1235659780
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRIGHT FUTURE COMMUNITY HEALTH CARE SERVICES
Practice address
40 S Dundalk Ave
Baltimore, MD 21222-4267
Phone
(443) 912-4612
Fax
(877) 288-4626
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Emmanuella Owobu, LCPC, CAC-ADNPI 1851738835
Title
Therapist/Owner
Phone
(443) 912-4612

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

40 S Dundalk Ave
Baltimore, MD 21222-4267

Mailing address

907 Foxwood LN
Essex, MD 21221-5929
Phone (443) 413-8254

Other identifiers 1

IdentifierTypeStateIssuer
065881200MedicaidMD

Other names 1

  • Bright Future Community Health Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Future Comm Health Care SVC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 S Dundalk Ave
Dundalk, MD 21222
Phone (410) 285-8157

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1235659780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FOXWOOD LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215929",
            "telephone_number": "443-413-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224267",
            "telephone_number": "443-912-4612",
            "fax_number": "877-288-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURE COMMUNITY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "OWOBU",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "443-912-4612",
        "authorized_official_credential": "LCPC, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065881200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Future Community Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Future Community Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.