Brightpath Support Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BRIGHTPATH SUPPORT SERVICES LLC

Practice address

25 High St Apt C1
Montclair, NJ 07042-2452

Phone

(315) 415-7148

NPI assigned

Feb 27, 2026

Organization subpart

No

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

Authorized official

Name

Miss Kezia WallersonNPI 1831041730

Title

Owner

Phone

(315) 415-7148

Specialties & licenses 3

Addresses

Practitioners 1

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

• Kezia Wallerson

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Montclair, NJ
  • NPI 1831041730

  Health Educator

  NPD Authorized official

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1851246672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH ST APT C1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422452",
            "telephone_number": "315-415-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH ST APT C1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422452",
            "telephone_number": "315-415-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTPATH SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "WALLERSON",
        "authorized_official_first_name": "KEZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-415-7148",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.