Richard James Bryan, C.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6904910-6004 Issued in UT

Practice address

567 N 2620 W
Provo, UT 84601-1187

Phone

(801) 362-1705

NPI assigned

Jan 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1235550526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N 2620 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011187",
            "telephone_number": "801-362-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N 2620 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011187",
            "telephone_number": "801-362-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "C.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6904910-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Brownlow, FNP-C
• Alayna Bruckner, MS
• Gordon Scott Bruin, M.A.
• Lauryn Holly Brunt I
• Tyler Brush
• William Kenneth Bryant, DPT
• Daxton Kent Bryce
• Lauren Elizabeth Cox Bryce
• Marina Mae Bryce
• Bryner Therapy

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.