Individual provider Active NPI

Bryana Buie

  • Counselor
  • Monroe, LA
National Provider Identifier
1245702166
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PLC8747 Issued in LA
Practice address
1162 Oliver Rd Ste 4
Monroe, LA 71201-5757
Phone
(318) 340-1535
NPI assigned
Dec 18, 2018
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PLC8747 LA Primary
Mental Health Counselor 101YM0800X NU
Case Manager/Care Coordinator 171M00000X NU
Case Manager/Care Coordinator 171M00000X PLC8747 LA

Addresses

Primary practice location

1162 Oliver Rd Ste 4
Monroe, LA 71201-5757

Mailing address

128 Monterey Cir
Monroe, LA 71202-6106
Phone (318) 366-1500

Other practice location 1

622 Riverside Dr
Monroe, LA 71201-6211
Phone (337) 794-6090

Other practice location 2

617 E Madison Ave
Bastrop, LA 71220-3833
Phone (318) 239-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PLC8747LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center Behavioral Health Services PastSince Jan 1, 2023 Accepting new patients

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1245702166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MONTEREY CIR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026106",
            "telephone_number": "318-366-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 OLIVER RD STE 4",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015757",
            "telephone_number": "318-340-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "337-794-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 E Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712203833",
            "country_code": "US",
            "telephone_number": "318-239-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUIE",
        "first_name": "BRYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC8747",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC8747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.