Kyle Brandyberry, LIMHP, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1796 Issued in NE

Practice address

110 N Bailey Ave
North Platte, NE 69101-5436

Phone

(308) 534-0440

NPI assigned

Dec 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Region II Human ServicesGroup PAC ID 0143280651, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Region II Human Services

  • Community/Behavioral Health Agency
  • North Platt, NE
  • NPI 1558657155

  NE

  Medicare reassignment Care Compare group NPD
• Region II Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Platte, NE
  • NPI 1013923382
  NPD
• Region II Human Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, NE
  • NPI 1083799126
  NPD

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1235674334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BAILEY AVE",
            "address_2": "P.O. BOX 1208",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015436",
            "telephone_number": "308-534-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BAILEY AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015436",
            "telephone_number": "308-534-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDYBERRY",
        "first_name": "KYLE",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1385",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4849",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1796",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1243",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bornsen
• Bassent Botros, M.D.
• Karlee Marie Boyd
• Christian Xavier Brack
• Patricia D Brackett
• Isabella Bravo
• Sandra Jo Breach, MSW
• Alan R Brewer, MD
• Bridges Counseling Services, LLC
• Jeffrey Christopher Brittan, M.D.

• All providers in North Platte, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.