NPIMap

Organization Active NPI

Bryce Wilson, PLLC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1154770329
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010388 Issued in WA
Legal business name
BRYCE WILSON, PLLC
Practice address
5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206
Phone
(253) 446-7176
Fax
(253) 446-7176
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mr. Bryce Wilson, MA, LMHC, LMFTNPI 1952582843
Title
Owner
Phone
(253) 446-7176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00010388 WA Primary

Addresses

Primary practice location

5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206

Mailing address

5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206
Phone (253) 446-7176

Other names 1

  • Northwest Counsel Doing business as

National Provider Directory

National Provider Directory

Locations

5620 112th St E
Ste 215
Puyallup, WA 98373
Phone (253) 209-4403

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1154770329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E",
            "address_2": "STE. 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-446-7176",
            "fax_number": "253-446-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E",
            "address_2": "STE. 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-446-7176",
            "fax_number": "253-446-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE WILSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-446-7176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMHC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Counsel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.