Organization Active NPI

Brighter Paths Wellness and Counseling Center

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1881258424
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRIGHTER PATHS WELLNESS AND COUNSELING CENTER
Practice address
4888 Dexter Dr Ste 300B
Plano, TX 75093-5565
Phone
(469) 717-0662
Fax
(866) 585-0224
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Chris P
Title
Billing Manager
Phone
(708) 575-0084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4888 Dexter Dr Ste 300B
Plano, TX 75093-5565

Mailing address

4815 Westgrove Dr Apt 405
Addison, TX 75001-6103

Other practice location 1

17304 Preston Rd Ste 800
Dallas, TX 75252-5645
Phone (512) 785-3301

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rrichardson@brighterpathsllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190624000474 TX Part B Supplier - Clinic/Group Practice 5799019857 Receives reassigned benefits from 5 practitioners
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

906 W McDermott Dr
Unit 116139
Allen, TX 75013
Phone (469) 717-0662

4888 Dexter Dr
Ste 300B
Plano, TX 75093
Phone (469) 717-0662

Practitioners & affiliated clinicians

Practitioners 5

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": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1881258424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 WESTGROVE DR APT 405",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 DEXTER DR STE 300B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935565",
            "telephone_number": "469-717-0662",
            "fax_number": "866-585-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17304 Preston Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525645",
            "country_code": "US",
            "telephone_number": "512-785-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTER PATHS WELLNESS AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-01-04",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "P",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "708-575-0084"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rrichardson@brighterpathsllc.com",
            "affiliation": "N",
            "endpointDescription": "secure webmail",
            "address_1": "17304 Preston Rd Ste 800",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.