Misty Dawn Bright, LICSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG60148743 Issued in WA

Practice address

Traverse Therapy Services, LLC
12507 Bel-Red Rd., Ste. 100
Bellevue, WA 98005-9800

Phone

(206) 307-8422

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1902152184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S 176TH ST UNIT 219",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884038",
            "telephone_number": "206-307-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRAVERSE THERAPY SERVICES, LLC",
            "address_2": "12507 BEL-RED RD., STE. 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980059800",
            "telephone_number": "206-307-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60148743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "psychologytoday.com",
            "affiliation": "N",
            "address_1": "Traverse Therapy Services, LLC",
            "address_2": "12507 Bel-Red Rd., Ste. 100",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980059800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Bellevue, WA
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.