Organization Active NPI

Shine Bright Family Services

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1356797344
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6039 Issued in OK
Legal business name
SHINE BRIGHT FAMILY SERVICES
Practice address
5350 S Western Ave Ste 216
Oklahoma City, OK 73109-4525
Phone
(405) 822-2262
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Shaunica Carmell Byrd, LPCNPI 1770870099
Title
Owner/Ceo
Phone
(405) 822-2262

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6039 OK Primary

Addresses

Primary practice location

5350 S Western Ave Ste 216
Oklahoma City, OK 73109-4525

Mailing address

1205 S. Air Depot
Suite 317
Midwest City, OK 73110
Phone (405) 822-2262

National Provider Directory

National Provider Directory

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

5350 S Western Ave
Ste 216
Oklahoma City, OK 73109
Phone (405) 822-2262

1205 S Air Depot Blvd
Oklahoma City, OK 73110
Phone (405) 205-3742

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1356797344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S. AIR DEPOT",
            "address_2": "SUITE 317",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-822-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 216",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094525",
            "telephone_number": "405-822-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE BRIGHT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "SHAUNICA",
        "authorized_official_middle_name": "CARMELL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "405-822-2262",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.