Organization Active NPI

Bright Light Counseling PLLC

  • Community/Behavioral Health Agency
  • Red Springs, NC
National Provider Identifier
1639799661
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHT LIGHT COUNSELING PLLC
Practice address
112 W 4TH Ave
Red Springs, NC 28377-1508
Phone
(910) 802-2008
NPI assigned
Apr 20, 2020
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Jacqueline L Carthen, LCMHCSNPI 1922434042
Title
Clinical Director
Phone
(910) 733-2155

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

112 W 4TH Ave
Red Springs, NC 28377-1508

Mailing address

112 W 4TH Ave
Red Springs, NC 28377-1508
Phone (910) 802-2008

Other practice location 1

18 Logan Rd
Castle Hayne, NC 28429-5617
Phone (910) 802-2008

National Provider Directory

National Provider Directory
Tax ID family
Bright Light Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

112 W 4th Ave
Red Springs, NC 28377
Phone (910) 802-2008

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1639799661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771508",
            "telephone_number": "910-802-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771508",
            "telephone_number": "910-802-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Logan Rd",
            "address_purpose": "LOCATION",
            "city": "Castle Hayne",
            "state": "NC",
            "postal_code": "284295617",
            "country_code": "US",
            "telephone_number": "910-802-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT LIGHT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "CARTHEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-733-2155",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.