Brighter Path Counseling Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIGHTER PATH COUNSELING SERVICES, INC.

Practice address

7828 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-3049

Phone

(909) 782-8382

Fax

(909) 365-3576

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Javier Martin Panameno Campos, LCSW

Title

Chief Executive Officer

Phone

(909) 782-8382

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1922518547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923341176",
            "telephone_number": "909-782-8382",
            "fax_number": "909-365-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 HAVEN AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303049",
            "telephone_number": "909-782-8382",
            "fax_number": "909-365-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER PATH COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "PANAMENO CAMPOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-782-8382",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.