Nicole Bryan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007140 Issued in VA

Practice address

1495 Chain Bridge Rd Ste 300
MC Lean, VA 22101-5727

Phone

(703) 261-4082

NPI assigned

May 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jennifer Weaver and Associates, PLLC

  dba Weaver and Associates, PLLC

  • Clinical Social Worker
  • McLean, VA
  • NPI 1588030993
  NPD (past)

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184152605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "703-261-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5480 Wisconsin Ave Ste 222",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208153568",
            "country_code": "US",
            "telephone_number": "703-261-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6101",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ball Brown, PMHCNS, BC
• Shani Marie Brown, FNP-BC
• Bruce E Lessin M D P C
• Peter Denis Bruno, MD
• James Albert Bryan II, LPC
• Bryant Health Corp
• Anita Kathleen Bryce
• Nancy Hammer Buckner, COTA
• Kelly Anne Bufton, MD
• Minh Bui, PHARM.D.

• Professional Counselor in McLean, VA
• Providers in McLean, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.