Individual provider Active NPI

Ashley Janelle Bryan, LSW

  • Mental Health Counselor
  • Harrisburg, PA
National Provider Identifier
1134711591
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
134118 Issued in PA
Practice address
3919 Birchwood Cir
Harrisburg, PA 17110-9388
Phone
(223) 666-0707
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 134118 PA Primary

Addresses

Primary practice location

3919 Birchwood Cir
Harrisburg, PA 17110-9388

Mailing address

3919 Birchwood Cir
Harrisburg, PA 17110-9388
Phone (717) 979-6757

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashleybryan@superiorseniorservices.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230825000367 PA Practitioner - Clinical Social Worker 5597128421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134118PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 21, 2023 Accepting new patients
Mental Wealth Counseling and Holistic Healthcareservices Mental Wealth CurrentSince Jul 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2411 N Front St
Ste 202
Harrisburg, PA 17110
Phone (223) 666-0707

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1134711591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 BIRCHWOOD CIR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109388",
            "telephone_number": "717-979-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 BIRCHWOOD CIR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109388",
            "telephone_number": "223-666-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ASHLEY",
        "middle_name": "JANELLE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "134118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashleybryan@superiorseniorservices.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3919 Birchwood Cir",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171109388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.