NPIMap

Organization Active NPI

Bryans Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
National Provider Identifier
1285143594
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BRYANS TREATMENT CENTER
Practice address
6648 South Ave
Holland, OH 43528
Phone
14194508273
NPI assigned
Sep 29, 2017
Last updated
Sep 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Teresa Nickole Dennis, CDCA, RANPI 1154849511
Title
Ceo
Phone
(419) 450-8273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 201726803838 OH
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 201726803838 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

6648 South Ave
Holland, OH 43528

Mailing address

6648 South Ave
Holland, OH 43528-9507
Phone (419) 450-8273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1285143594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6648 SOUTH AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289507",
            "telephone_number": "14194508273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6648 SOUTH AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "14194508273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "NICKOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-450-8273",
        "authorized_official_credential": "CDCA, RA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "201726803838",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "OH",
            "license": "201726803838",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.