Organization Active NPI

Bright Harbor Solutions LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Salisbury, NC
National Provider Identifier
1508730045
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BRIGHT HARBOR SOLUTIONS LLC
Practice address
473 Wendover Dr
Salisbury, NC 28147-8034
Phone
(980) 349-0414
Fax
(980) 349-0414
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Kailan Johnson, RN
Title
Ceo, Owner
Phone
(980) 349-0414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Day Care Clinic/Center 261QA0600X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

473 Wendover Dr
Salisbury, NC 28147-8034

Mailing address

473 Wendover Dr
Salisbury, NC 28147-8034
Phone (980) 349-0414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1508730045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WENDOVER DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281478034",
            "telephone_number": "980-349-0414",
            "fax_number": "980-349-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 WENDOVER DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281478034",
            "telephone_number": "980-349-0414",
            "fax_number": "980-349-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HARBOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAILAN",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "980-349-0414",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.