Organization Active NPI

Brightside Consulting LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1285112151
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095986 Issued in MI
Legal business name
BRIGHTSIDE CONSULTING LLC
Practice address
3520 S Morgan St
Chicago, IL 60609-1533
Phone
(269) 599-0976
NPI assigned
Aug 2, 2018
Organization subpart
Yes
Parent organization
802171894As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Arlene Kemp, LMSW
Title
Clinical Director
Phone
(269) 599-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801095986 MI Primary

Addresses

Primary practice location

3520 S Morgan St
Chicago, IL 60609-1533

Mailing address

3419 Hoover St
Kalamazoo, MI 49008-2626
Phone (269) 599-0976

Other names 1

  • Brightside Integrated Health Doing business as

National Provider Directory

National Provider Directory
Part of
Brightside Consulting LLC

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1285112151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 HOOVER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082626",
            "telephone_number": "269-599-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 S MORGAN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091533",
            "telephone_number": "269-599-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "802171894",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "269-599-0976",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.