Tara Bryant Edwards, MS, MBA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005107 Issued in IL

Practice address

444 N Michigan Ave Ste 1200
Chicago, IL 60611-3959

Phone

(312) 312-7388

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aya Counseling LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1255942454
  NPD Authorized official
• Infinite Positivity, Inc.

  • Professional Counselor
  • Chicago, IL
  • NPI 1376726398
  NPD (past) Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1013192087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-312-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-312-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT EDWARDS",
        "first_name": "TARA",
        "credential": "MS, MBA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180005107",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180005107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Bryan, M.D.
• Dennis Bryan, RPH MBA FAPHA
• Emily Bryan, LPC
• John Michael Bryan, MD
• Richard Karl Bryan, DC
• Jade R Bryant-Moore, LPC
• Felicia Renee Bryant-Sosa, LSW
• Aaron Alexander Bryant, DC
• Benjamin Bryant
• Calvin Lee Bryant Jr., PHARMACIST

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.