James Albert Bryan II, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701012715 Issued in VA

Practice address

1497 Chain Bridge Rd Ste 202
MC Lean, VA 22101-5728

Phone

(760) 390-1550

NPI assigned

Dec 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Cor Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • MC Lean, VA
  • NPI 1295504322
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1023887155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 202",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "760-390-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 202",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "760-390-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Brown, MA
• Janet E. Brown, MA CCC-SLP
• Mary Ball Brown, PMHCNS, BC
• Shani Marie Brown, FNP-BC
• Bruce E Lessin M D P C
• Nicole Bryan
• Bryant Health Corp
• Nancy Hammer Buckner, COTA
• Kelly Anne Bufton, MD
• Minh Bui, PHARM.D.

• Mental Health Counselor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.