Individual provider Active NPI

Bryan Ledbury

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1124381330
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60783716 Issued in WA
Practice address
9830 NE Cascades Pkwy
Ste 200
Portland, OR 97220-6832
Phone
(503) 901-7357
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60783716 WA Primary

Addresses

Primary practice location

9830 NE Cascades Pkwy
Ste 200
Portland, OR 97220-6832

Mailing address

9830 NE Cascades Pkwy
Ste 200
Portland, OR 97220-6832
Phone (503) 901-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003567 WA Practitioner - Mental Health Counselor 6507382272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

2103 NE 129TH St
Suite 101
Vancouver, WA 98686-3270
Phone (360) 574-9303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Mar 16, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health Past Accepting new patients
Albertina Kerr Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

2103 NE 129th St
Ste 101
Vancouver, WA 98686
Phone (360) 574-9303

7507 NE 51st St
Vancouver, WA 98662
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.bryanledbury@148835.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1124381330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 NE CASCADES PKWY",
            "address_2": "STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206832",
            "telephone_number": "503-901-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 NE CASCADES PKWY",
            "address_2": "STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206832",
            "telephone_number": "503-901-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBURY",
        "first_name": "BRYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60783716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.