Active NPI
Joellen Estelle Bryson, CADC
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1124789185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25515
- Practice address
- 7349 Statesville Rd
Charlotte, NC 28269-3702 - Phone
- (866) 966-1168
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25515 | NC | Primary |
Addresses
Primary practice location
7349 Statesville Rd
Charlotte, NC 28269-3702
Mailing address
207 Crest LN
Belmont, NC 28012-2900
Phone (704) 297-5805
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1124789185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 CREST LN",
"city": "BELMONT",
"state": "NC",
"postal_code": "280122900",
"telephone_number": "704-297-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7349 STATESVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693702",
"telephone_number": "866-966-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYSON",
"first_name": "JOELLEN",
"middle_name": "ESTELLE",
"name_prefix": "Mrs.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.