Individual provider Active NPI

Rosalyne Maxine Bryson

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1093422651
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
182432 Issued in OH
Practice address
1804 E 55TH St
Cleveland, OH 44103-3602
Phone
(216) 762-1237
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 182432 OH Primary

Addresses

Primary practice location

1804 E 55TH St
Cleveland, OH 44103-3602

Mailing address

2811 Central Ave Apt 575
Cleveland, OH 44115-3180
Phone (440) 381-6492

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RosalyneMBryson@orianahouse.org

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

LicenseStateTypeSpecialty
182432OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oriana House, Inc. PastSince Nov 6, 2022 Accepting new patients
Oriana House, Inc. Addiction (Substance Use Disorder) PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1093422651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 CENTRAL AVE APT 575",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153180",
            "telephone_number": "440-381-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033602",
            "telephone_number": "216-762-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "ROSALYNE",
        "middle_name": "MAXINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "182432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RosalyneMBryson@orianahouse.org",
            "affiliation": "N",
            "address_1": "1804 E 55th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441033602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.