Organization Active NPI

Bright Change Therapy LLC

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1811765266
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIGHT CHANGE THERAPY LLC
Practice address
931 Industrial Park Rd Ste 20
Orem, UT 84057-2803
Phone
(385) 269-0727
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Julie Chacon, LCSWNPI 1699301754
Title
Ownder
Phone
(385) 269-0727

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X

Addresses

Primary practice location

931 Industrial Park Rd Ste 20
Orem, UT 84057-2803

Mailing address

931 Industrial Park Rd Ste 20
Orem, UT 84057-2803
Phone (385) 269-0727

National Provider Directory

National Provider Directory

Locations

931 Industrial Park Rd
Ste 20
Orem, UT 84057
Phone (385) 269-0727

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": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1811765266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD STE 20",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572803",
            "telephone_number": "385-269-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD STE 20",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572803",
            "telephone_number": "385-269-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "385-269-0727",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

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