Organization Active NPI

Brightlife Counseling, LLC

  • Clinical Social Worker
  • Layton, UT
National Provider Identifier
1790361079
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIGHTLIFE COUNSELING, LLC
Doing business as
BrightLife Counseling, LLC
Practice address
1513 N Hill Field Rd Ste 1-5
Layton, UT 84041-2162
Phone
(385) 424-0175
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Kasey Goldstein, LCSWNPI 1639604051
Title
LCSW/Psychotherapist
Phone
(801) 791-9192

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1513 N Hill Field Rd Ste 1-5
Layton, UT 84041-2162

Mailing address

401 S 1350 W
Syracuse, UT 84075-8126
Phone (801) 791-9192

Other names 1

  • BrightLife Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1513 N Hill Field Rd
Ste 15
Layton, UT 84041
Phone (385) 424-0175

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": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1790361079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 1350 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758126",
            "telephone_number": "801-791-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N HILL FIELD RD STE 1-5",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412162",
            "telephone_number": "385-424-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "LCSW/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "801-791-9192",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightLife Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.