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Brightside Behavioral Health, LLC

Organization Active NPI Mental Health Counselor · Warwick, RI

NPI 1255872206 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1255872206
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
MHC00715 (RI)
Legal business name
BRIGHTSIDE BEHAVIORAL HEALTH, LLC
Practice address
469 Centerville Rd
Suite 101
Warwick, RI 02886-4354
Phone
(954) 658-9482
NPI assigned
Mar 10, 2017
Organization subpart
No

Authorized official

Name
Ms. Hallie Fleischman, LMHC NPI 1720331747
Title
Owner
Phone
(954) 658-9482

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 23

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in RI, MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240221004064 RI Part B Supplier - Clinic/Group Practice 4981048501 Receives reassigned benefits from 22 practitioners
Practice locations: Warwick, RI
O20241231002363 MA Part B Supplier - Clinic/Group Practice 4981048501 Receives reassigned benefits from 6 practitioners
Practice locations: Seekonk, MA

National Provider Directory

Locations

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YM0800X MHC00715 RI Yes

Addresses

Primary practice location

469 Centerville Rd
Suite 101
Warwick, RI 02886-4354

Mailing address

469 Centerville Rd
Suite 101
Warwick, RI 02886-4354

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1255872206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "954-658-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMAN",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-658-9482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

All providers in Warwick, RI · Mental Health Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.