Active NPI
Bryce Watkins, MSSW, CSW
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1295103554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7452
- Practice address
- 900 Beasley St Ste 120
Lexington, KY 40509-4266 - Phone
- (859) 254-1035
- Fax
- (859) 254-2075
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7452 | KY | Primary |
Addresses
Primary practice location
900 Beasley St Ste 120
Lexington, KY 40509-4266
Mailing address
900 Beasley St Ste 120
Lexington, KY 40509-4266
Phone (859) 254-1035
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7452 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1295103554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BEASLEY ST STE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094266",
"telephone_number": "859-254-1035",
"fax_number": "859-254-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BEASLEY ST STE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094266",
"telephone_number": "859-254-1035",
"fax_number": "859-254-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "BRYCE",
"credential": "MSSW, CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "7452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.