Organization Active NPI

Bryant Crisis Intervention Center

  • Pastoral Counselor
  • Jamesville, NC
National Provider Identifier
1316568157
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
BRYANT CRISIS INTERVENTION CENTER
Practice address
1149 Stewart Street
Jamesville, NC 27846
Phone
(570) 982-9900
NPI assigned
May 4, 2020
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Shenail Bryant Liiatt Bryant, MAS
Title
Executive Director
Phone
(570) 982-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

1149 Stewart Street
Jamesville, NC 27846

Mailing address

PO Box 348
Jamesville, NC 27846-0348
Phone (570) 982-9900

Other names 1

  • BCIC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1316568157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278460348",
            "telephone_number": "570-982-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 STEWART STREET",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "27846",
            "telephone_number": "570-982-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT CRISIS INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SHENAIL BRYANT",
        "authorized_official_middle_name": "LIIATT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-982-9900",
        "authorized_official_credential": "MAS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.