Organization Active NPI

Brightside Counseling Services, LLC

  • Mental Health Counselor
  • Greenwood Village, CO
National Provider Identifier
1457730194
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIGHTSIDE COUNSELING SERVICES, LLC
Practice address
5650 Greenwood Plaza Blvd Ste 144-145
Greenwood Village, CO 80111-2307
Phone
(303) 353-9226
Fax
(720) 923-2321
NPI assigned
May 27, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Keith Edmonds
Title
Owner/Operator
Phone
(720) 257-1752

Subparts reporting this organization as parent 2

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

Corporate family (same tax ID) 2

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Brightside Counseling Services LLC (3 organizations share this tax ID)

Locations

5650 Greenwood Plaza Blvd
Ste 144
Greenwood Village, CO 80111
Phone (303) 353-9226

5650 Greenwood Plaza Blvd
Ste 144145
Greenwood Village, CO 80111
Phone (303) 353-9226

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 11693 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

5650 Greenwood Plaza Blvd Ste 144-145
Greenwood Village, CO 80111-2307

Mailing address

4810 S Bahama Way
Aurora, CO 80015-4917
Phone (303) 353-9226

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9000174335MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2022.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1457730194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 S BAHAMA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800154917",
            "telephone_number": "303-353-9226",
            "fax_number": "720-923-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 GREENWOOD PLAZA BLVD STE 144-145",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112307",
            "telephone_number": "303-353-9226",
            "fax_number": "720-923-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "720-257-1752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "11693",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000174335",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.