BRIGHT SKY THERAPY LLC (NPI# 1538780234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538780234 |
| Entity Type | Organization |
| Organization Name | BRIGHT SKY THERAPY LLC |
| Practice Address |
4609 N 121st Ter Kansas City KS 66109-2928 |
| Practice Telephone | 9134245130 |
| Mailing Telephone | 9134245130 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | TATYANA FASTOVSKAYA (CEO) |
| Authorized Official Telephone | 9134245130 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4609 N 121ST TER |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344503 | Peace for Your Pieces LLC | Community/Behavioral Health | 7221 Troost Ave, Kansas City, MO 64131-1704 | 2019-09-05 |
| 1386184927 | Lympus Counseling LLC | Community/Behavioral Health | 601 E 63rd St Ste 340, Kansas City, MO 64110-3303 | 2017-03-01 |
| 1629517131 | The Missing L Inc | Community/Behavioral Health | 13860 Wyandotte St, Kansas City, MO 64145-1518 | 2017-02-16 |
| 1104288083 | New Reflections of Hope Counseling Center | Community/Behavioral Health | 7920 Troost Ave, Kansas City, MO 64131-1920 | 2016-03-22 |
| 1871953828 | Episcopal Community Services | Community/Behavioral Health | 11 E 40th St, Kansas City, MO 64111-4909 | 2016-03-03 |
| 1457721995 | Mind Matters Counseling Service, LLC | Community/Behavioral Health | 5021 Troost Ave, Kansas City, MO 64110-2273 | 2015-09-27 |
| 1043600240 | Rayshawn Harris | Community/Behavioral Health | 3940 Norton Ave, Kansas City, MO 64130-1526 | 2015-01-27 |
| 1235537002 | Hope and Healing Addiction Services | Community/Behavioral Health | 7211 Nw 83rd St Ste 255, Kansas City, MO 64152-6024 | 2014-12-10 |
| 1992125900 | First Call Alcohol/drug Prevention & Recovery | Community/Behavioral Health | 9091 State Line Rd, Kansas City, MO 64114-3251 | 2014-04-17 |
| 1831529189 | Penuel Counseling | Community/Behavioral Health | 13400 E 49th Ter, Kansas City, MO 64133-2697 | 2013-11-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.