Organization Active NPI

Bright Water Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Traverse City, MI
National Provider Identifier
1679351456
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BRIGHT WATER COUNSELING
Practice address
1212 Veterans Dr Ste 202
Traverse City, MI 49684-4734
Phone
(231) 715-1166
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Ms. Karen Frances McCarthy, MA, LLPCNPI 1275202475
Title
Counselor/Owner
Phone
(231) 715-1166

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1212 Veterans Dr Ste 202
Traverse City, MI 49684-4734

Mailing address

1212 Veterans Dr Ste 202
Traverse City, MI 49684-4734
Phone (231) 715-1166

National Provider Directory

National Provider Directory

Locations

1212 Veterans Dr
Ste 202
Traverse City, MI 49684
Phone (231) 715-1166

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1679351456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 VETERANS DR STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844734",
            "telephone_number": "231-715-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 VETERANS DR STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844734",
            "telephone_number": "231-715-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT WATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "231-715-1166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "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 Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.