Active NPI
Clifton Elton Bright Jr., LCPC
- Mental Health Counselor
- Elkton, MD
National Provider Identifier
1811240666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC6500
- Practice address
- 200 Booth St
Elkton, MD 21921-5657 - Phone
- (443) 907-7799
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC6500 | MD | Primary |
Addresses
Primary practice location
200 Booth St
Elkton, MD 21921-5657
Mailing address
200 Booth St
Elkton, MD 21921-5657
Phone (443) 907-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6500 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1811240666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BOOTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215657",
"telephone_number": "443-907-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOOTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215657",
"telephone_number": "443-907-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "CLIFTON",
"middle_name": "ELTON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC6500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.