Active NPI
Jessie Lee Bryant
- Mental Health Counselor
- Mechanicsville, VA
National Provider Identifier
1003401795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704013799
- Practice address
- 7301 Hanover Green Dr
Mechanicsville, VA 23111-1765 - Phone
- (804) 874-9929
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704013799 | VA | Primary |
Addresses
Primary practice location
7301 Hanover Green Dr
Mechanicsville, VA 23111-1765
Mailing address
2018 S Twilight LN
North Chesterfield, VA 23235-5474
Phone (330) 475-5790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704013799 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1003401795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 S TWILIGHT LN",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232355474",
"telephone_number": "330-475-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 HANOVER GREEN DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231111765",
"telephone_number": "804-874-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JESSIE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704013799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.