Active NPI
Pamela Bryan, LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1144635681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00005424
- Practice address
- 1611 116TH Ave NE
#224
Bellevue, WA 98004-3045 - Phone
- (425) 283-1313
- NPI assigned
- Jun 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00005424 | WA | Primary |
Addresses
Primary practice location
1611 116TH Ave NE
#224
Bellevue, WA 98004-3045
Mailing address
1611 116TH Ave NE
#224
Bellevue, WA 98004-3045
Phone (425) 283-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH 00005424 | Other | WA | WA STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 7, 2025 through Aug 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 00005424 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1144635681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 116TH AVE NE",
"address_2": "#224",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043045",
"telephone_number": "425-283-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 116TH AVE NE",
"address_2": "#224",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043045",
"telephone_number": "425-283-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00005424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE NUMBER",
"identifier": "LH 00005424",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.