Brian Dewyre, PCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E 0002815 Issued in OH

Practice address

20545 Center Ridge Rd Ste 448
Rocky River, OH 44116-3423

Phone

(440) 554-4062

Fax

(440) 356-0580

NPI assigned

Jun 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fit Mind Cleveland

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1427364371
  NPD
• Kelly Ferris, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rocky River, OH
  • NPI 1720631534
  NPD

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1235424946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 448",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423",
            "telephone_number": "440-554-4062",
            "fax_number": "440-356-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 448",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423",
            "telephone_number": "440-554-4062",
            "fax_number": "440-356-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440222779",
            "country_code": "US",
            "telephone_number": "440-356-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWYRE",
        "first_name": "BRIAN",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E 0002815",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E 0002815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0002815",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 0002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Deininger, LPC
• Margaret Mary Delaney, LPCC-S
• Sarah Della Vella, L.I.S.W.
• Dental Health Center, Inc. One
• Dentistry for Children of Ohio 2 Randy Hamilton DMD LLC
• Diamond in the Rough Construction LLC
• Diana K Overberger OD Inc
• Eliana Maria Diaz Duran, MD
• Alexis Dickinson
• Laura Jean Diffendal, PCC-S

• Mental Health Counselor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.