Light Bright Counseling Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIGHT BRIGHT COUNSELING CENTER, PLLC

Practice address

1751 River Run Ste 200
Fort Worth, TX 76107-6670

Phone

(682) 253-6810

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl V. Gray, LPC-SUPERVISORNPI 1215109913

Title

Therapist

Phone

(817) 675-1074

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cheryl V Gray, L.P.C.

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1215109913
  NPD Authorized official

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1891340386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 BOXTHORN CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761773012",
            "telephone_number": "817-675-1074",
            "fax_number": "682-708-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 RIVER RUN STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076670",
            "telephone_number": "682-253-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT BRIGHT COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "817-675-1074",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.