Individual provider Active NPI

Kimberly Sytell Bryant, MA, LPC, LCPC, LMHC

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1275307712
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013054 Issued in VA
Practice address
1811 Roberts St
Farmville, VA 23901-2904
Phone
(804) 491-6207
NPI assigned
Nov 14, 2023
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH25761 FL
Professional Counselor 101YP2500X 0701013054 VA Primary
Professional Counselor 101YP2500X LC16526 MD

Addresses

Primary practice location

1811 Roberts St
Farmville, VA 23901-2904

Mailing address

1811 Roberts St
Farmville, VA 23901-2904
Phone (804) 606-7709

Other practice location 1

8300 Boone Blvd Ste 500
Vienna, VA 22182-2681
Phone (703) 884-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240523004034 VA Practitioner - Mental Health Counselor 0941642797
I20240826001100 DC Practitioner - Mental Health Counselor 0941642797 Reassigns benefits to 1 organization
I20250606000667 FL Practitioner - Mental Health Counselor 0941642797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC16526MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jul 23, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1275307712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 ROBERTS ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012904",
            "telephone_number": "804-606-7709",
            "fax_number": "434-569-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ROBERTS ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012904",
            "telephone_number": "804-491-6207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Boone Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822681",
            "country_code": "US",
            "telephone_number": "703-884-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KIMBERLY",
        "middle_name": "SYTELL",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LCPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH25761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013054",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC16526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.