Organization Active NPI

Brightside Billing, LLC

  • Mental Health Counselor
  • Lederach, PA
National Provider Identifier
1255910378
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIGHTSIDE BILLING, LLC
Practice address
701 Cross Road
Lederach, PA 19450
Phone
(215) 264-2272
Fax
(215) 392-8540
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHTSIDE COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mr. Matthew Mark Albright, LPC
Title
Owner
Phone
(215) 264-2272

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X
Counseling Psychologist 103TC1900X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

701 Cross Road
Lederach, PA 19450

Mailing address

PO Box 255
Lederach, PA 19450-0255
Phone (215) 264-2272

Other practice location 1

1200 W Allegheny Ave
Philadelphia, PA 19133-1307
Phone (215) 300-5628

Other practice location 2

18 N State St
Newtown, PA 18940-2027
Phone (215) 432-0599

Other practice location 3

4522 Baltimore Ave
Philadelphia, PA 19143-3705
Phone (855) 217-9535

National Provider Directory

National Provider Directory
Part of
Brightside Counseling LLC

Locations

4522 Baltimore Ave
Philadelphia, PA 19143
Phone (215) 387-3434

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1255910378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "LEDERACH",
            "state": "PA",
            "postal_code": "194500255",
            "telephone_number": "215-264-2272",
            "fax_number": "215-392-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CROSS ROAD",
            "city": "LEDERACH",
            "state": "PA",
            "postal_code": "19450",
            "telephone_number": "215-264-2272",
            "fax_number": "215-392-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191331307",
            "country_code": "US",
            "telephone_number": "215-300-5628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 N State St",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189402027",
            "country_code": "US",
            "telephone_number": "215-432-0599",
            "fax_number": "215-447-8012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4522 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191433705",
            "country_code": "US",
            "telephone_number": "855-217-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTSIDE BILLING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTSIDE COUNSELING LLC",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-264-2272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lederach, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.