NPIMap

Organization Active NPI

Bright Side Counseling LLC

Doing business as Bright Side Counseling

  • Professional Counselor
  • West Columbia, SC
National Provider Identifier
1427595941
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRIGHT SIDE COUNSELING LLC
Doing business as
Bright Side Counseling
Practice address
2277 Sunset Blvd
West Columbia, SC 29169-4713
Phone
(888) 796-1117
Fax
(803) 996-5228
NPI assigned
Jan 22, 2017
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Ken Ray Taylor, LPC, LPCS
Title
Chief Executive Officer
Phone
(888) 796-1117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

2277 Sunset Blvd
West Columbia, SC 29169-4713

Mailing address

2277 Sunset Blvd
West Columbia, SC 29169-4713
Phone (888) 796-1117

Other identifiers 1

IdentifierTypeStateIssuer
PC1596MedicaidSC

Other names 1

  • Bright Side Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216001568 SC Part B Supplier - Clinic/Group Practice 7911331418 Receives reassigned benefits from 12 practitioners
Practice locations: West Columbia, SC

National Provider Directory

National Provider Directory

Locations

7326 Broad River Rd
Irmo, SC 29063

2437C Mineral Springs Rd
Lexington, SC 29072
Phone (888) 796-1117

415 Barr Rd
Lexington, SC 29072
Phone (803) 546-8228

2277 Sunset Blvd
West Columbia, SC 29169
Phone (888) 796-1117

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1427595941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694713",
            "telephone_number": "888-796-1117",
            "fax_number": "803-996-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694713",
            "telephone_number": "888-796-1117",
            "fax_number": "803-996-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-22",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "888-796-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1596",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Side Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.