NPIMap

Organization Active NPI

FBTC Transitional Sub, LLC

Doing business as Bright Light

  • Community/Behavioral Health Agency
  • Ridgeland, SC
National Provider Identifier
1336868769
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FBTC TRANSITIONAL SUB, LLC
Doing business as
Bright Light
Practice address
3319 Argent Blvd
Ridgeland, SC 29936-3266
Phone
(508) 521-2200
Fax
(508) 427-2227
NPI assigned
Aug 29, 2022
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP& Sr. Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3319 Argent Blvd
Ridgeland, SC 29936-3266

Mailing address

55 Tozer Rd
Beverly, MA 01915-5515
Phone (978) 969-2894

Other practice location 1

2049 Savannah Hwy Ste 50
Charleston, SC 29407-2228
Phone (800) 388-5150

Other practice location 2

440 Roper Mountain Rd
Greenville, SC 29615-4242
Phone (912) 677-4292

Other names 1

  • Bright Light Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FBTC Transitional Sub LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2049 Savannah Hwy
Ste 50
Charleston, SC 29407

Practitioners & affiliated clinicians

Practitioners 10

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": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1336868769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155515",
            "telephone_number": "978-969-2894",
            "fax_number": "978-969-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 ARGENT BLVD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363266",
            "telephone_number": "508-521-2200",
            "fax_number": "508-427-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 Savannah Hwy Ste 50",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294072228",
            "country_code": "US",
            "telephone_number": "800-388-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Roper Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154242",
            "country_code": "US",
            "telephone_number": "912-677-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FBTC TRANSITIONAL SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP& SR. ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Light",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.