Organization Active NPI

Brighter Heights Arizona, LLC

  • Mental Health Counselor
  • Prescott Valley, AZ
National Provider Identifier
1376601914
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH-3517 Issued in AZ
Legal business name
BRIGHTER HEIGHTS ARIZONA, LLC
Practice address
2517 N Great Western Dr Ste P
Prescott Valley, AZ 86314-2597
Phone
(928) 777-4131
Fax
(928) 227-4589
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mrs. Brooke Wilson
Title
Senior Credentialing Specialist
Phone
(928) 772-4131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X BH-2730 AZ
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X BH-3517 AZ Primary

Addresses

Primary practice location

2517 N Great Western Dr Ste P
Prescott Valley, AZ 86314-2597

Mailing address

2517 N Great Western Dr Ste P
Prescott Valley, AZ 86314-2597
Phone (928) 777-4131

Other identifiers 1

IdentifierTypeStateIssuer
210064MedicaidAZ

Other names 1

  • Prescott OPC Other name

National Provider Directory

National Provider Directory
Tax ID family
Brighter Heights Arizona LLC Dba Ocotillo Ranch15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

3170 Stillwater Dr
Prescott, AZ 86305
Phone (928) 777-2394

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1376601914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR STE P",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-777-4131",
            "fax_number": "928-227-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR STE P",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-777-4131",
            "fax_number": "928-227-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HEIGHTS ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "928-772-4131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "BH-2730",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "BH-3517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210064",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott OPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

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