Organization Active NPI

Brighter Horizons Counseling LLC

  • Counselor
  • Broken Arrow, OK
National Provider Identifier
1992453609
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BRIGHTER HORIZONS COUNSELING LLC
Practice address
102 N Elm PL Ste N
Broken Arrow, OK 74012-3883
Phone
(539) 589-1529
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Melissa Gantz, LCSWNPI 1164795803
Title
Owner
Phone
(539) 589-1529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

102 N Elm PL Ste N
Broken Arrow, OK 74012-3883

Mailing address

2928 N Fern CT
Broken Arrow, OK 74012-0834
Phone (539) 589-1529

Other identifiers 1

IdentifierTypeStateIssuer
2715OtherOKLCSW LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001912 OK Part B Supplier - Clinic/Group Practice 5395185003 Receives reassigned benefits from 5 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

102 N Elm Pl
Ste N
Broken Arrow, OK 74012
Phone (539) 589-1529

102 N Elm Pl
Ste G
Broken Arrow, OK 74012
Phone (918) 258-6579

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1992453609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 N FERN CT",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120834",
            "telephone_number": "539-589-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ELM PL STE N",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123883",
            "telephone_number": "539-589-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HORIZONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GANTZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "539-589-1529",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "2715",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.