Organization Active NPI

Bright Side Professional Services, PLLC

Doing business as Bright Side Family Therapy

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1790316230
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIGHT SIDE PROFESSIONAL SERVICES, PLLC
Doing business as
Bright Side Family Therapy
Practice address
3015 Medlin Dr Ste 200
Arlington, TX 76015-2360
Phone
(469) 271-8330
NPI assigned
Feb 3, 2020
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Cecilia T Briseno, LCSWNPI 1821335571
Title
Owner
Phone
(469) 271-8330

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3015 Medlin Dr Ste 200
Arlington, TX 76015-2360

Mailing address

3015 Medlin Dr Ste 200
Arlington, TX 76015-2360
Phone (469) 271-8330

Other names 1

  • Bright Side Family Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1790316230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MEDLIN DR STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152360",
            "telephone_number": "469-271-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MEDLIN DR STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152360",
            "telephone_number": "469-271-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE PROFESSIONAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "BRISENO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-271-8330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Side Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.