Individual provider Active NPI

Brytani Burch, LPC

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1275213860
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013935 Issued in GA
Practice address
4651 Woodstock Rd # 208-191
Roswell, GA 30075-1698
Phone
(404) 798-6286
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013935 GA Primary

Addresses

Primary practice location

4651 Woodstock Rd # 208-191
Roswell, GA 30075-1698

Mailing address

10902 Katy Fwy Apt 408
Houston, TX 77043-4918
Phone (404) 798-6286

Other names 1

  • Brytani Monet McNeil Professional name

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
LPC013935GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peacecare Counseling Professional CurrentSince Jul 23, 2023 Accepting new patients

Locations

4651 Woodstock Rd
#208191
Roswell, GA 30075
Phone (404) 798-6286

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1275213860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10902 KATY FWY APT 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434918",
            "telephone_number": "404-798-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 WOODSTOCK RD # 208-191",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751698",
            "telephone_number": "404-798-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "BRYTANI",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYTANI",
            "last_name": "MCNEIL",
            "middle_name": "MONET",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.