Provider Demographics
NPI:1215408166
Name:BRIGHT COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:BRIGHT COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRIGHT-PAPEO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-773-8087
Mailing Address - Street 1:1 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2607
Mailing Address - Country:US
Mailing Address - Phone:732-773-8087
Mailing Address - Fax:
Practice Address - Street 1:1 HELEN AVE
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2607
Practice Address - Country:US
Practice Address - Phone:732-773-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0511676Medicaid