Active NPI
Bryna Raquel May, LPC
- Professional Counselor
- North Tonawanda, NY
National Provider Identifier
1114202157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004941
- Practice address
- 1333 Strad Ave Ste 109
North Tonawanda, NY 14120-3061 - Phone
- (716) 253-2704
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 008419 | NY | |
| Professional Counselor | 101YP2500X | 0701004941 | VA | Primary |
Addresses
Primary practice location
1333 Strad Ave Ste 109
North Tonawanda, NY 14120-3061
Mailing address
1585 Ruie Rd
North Tonawanda, NY 14120-1841
Phone (716) 253-2704
Other practice location 1
13216 Lovers Ln
Culpeper, VA 22701-4168
Phone (540) 825-0705
Other practice location 2
4445 Corporation Ln Ste 264
Virginia Beach, VA 23462-3262
Phone (716) 253-2704
Other practice location 3
4445 Corporation Lane
Suite 264
Viginia beach, VA 23462
Phone (716) 253-2704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114202157 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701004941 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1114202157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 RUIE RD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201841",
"telephone_number": "716-253-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 STRAD AVE STE 109",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141203061",
"telephone_number": "716-253-2704"
}
],
"practiceLocations": [
{
"address_1": "13216 Lovers Ln",
"address_purpose": "LOCATION",
"city": "Culpeper",
"state": "VA",
"postal_code": "227014168",
"country_code": "US",
"telephone_number": "540-825-0705",
"fax_number": "540-825-0706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4445 Corporation Ln Ste 264",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234623262",
"country_code": "US",
"telephone_number": "716-253-2704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4445 Corporation Lane",
"address_2": "Suite 264",
"address_purpose": "LOCATION",
"city": "Viginia beach",
"state": "VA",
"postal_code": "23462",
"country_code": "US",
"telephone_number": "716-253-2704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAY",
"first_name": "BRYNA",
"middle_name": "RAQUEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "008419",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114202157",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.