Active NPI
Jonah Isaac Bryan, MA
- Mental Health Counselor
- Fort Collins, CO
National Provider Identifier
1215233945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0011774
- Practice address
- 323 W Drake Rd Ste 216
Fort Collins, CO 80526-8120 - Phone
- (970) 290-0336
- NPI assigned
- Jan 27, 2011
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | 0011774 | CO | Primary |
Addresses
Primary practice location
323 W Drake Rd Ste 216
Fort Collins, CO 80526-8120
Mailing address
2424 Coventry CT
Fort Collins, CO 80526-1282
Phone (970) 290-0336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 W Drake Rd
Suite 216
Fort Collins, CO 80526-8120
Phone (970) 290-0336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011774 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Counseling Inc. | Mental Health | Current | Accepting new patients |
Locations
323 W Drake Rd
Ste 216
Fort Collins, CO 80526
Phone (970) 223-5158
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215233945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 COVENTRY CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261282",
"telephone_number": "970-290-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W DRAKE RD STE 216",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805268120",
"telephone_number": "970-290-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "JONAH",
"middle_name": "ISAAC",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0011774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.