Umika Bryant
Individual provider Active NPI Mental Health Counselor · Mansfield, LA
NPI 1053785014 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1053785014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5060 Highway 509 Apt 32
Mansfield, LA 71052-6983 - Phone
- (318) 461-5530
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5060 Highway 509 Apt 32
Mansfield, LA 71052-6983
Mailing address
5060 Highway 509 Apt 32
Mansfield, LA 71052-6983
Phone (318) 461-5530
NPI Registry JSON
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1053785014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 HIGHWAY 509 APT 32",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710526983",
"telephone_number": "318-461-5530",
"fax_number": "318-621-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 HIGHWAY 509 APT 32",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710526983",
"telephone_number": "318-461-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "UMIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, LA
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All providers in Mansfield, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.