Wisteria Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WISTERIA COUNSELING

Practice address

209B Swanton Way Ste 204
Decatur, GA 30030-3271

Phone

(404) 450-2567

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Bryna Dunham, LPCNPI 1598235384

Title

Counselor

Phone

(404) 450-2567

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryna Leigh Dunham, LAPC

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1598235384
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1346977931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209B SWANTON WAY STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "404-450-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209B SWANTON WAY STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "404-450-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "BRYNA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "404-450-2567",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryna@wisteriacounseling.org",
            "affiliation": "N",
            "address_1": "209B Swanton Way Ste 204",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300303271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marvin Robert Winter, D.D.S.
• Wisemen Clinical Research Group, LLC
• Wiser Ground LLC
• Dianne Wisham, LAPC
• Wishing Well Counseling, LLC
• Melvin Trevor Witcher, RPH
• Crystal D Witherspoon, LMSW
• Angela Lynn Wittenauer, FNP-C
• Brett A Witz, PAA
• Patricia K Woeltz, APRN

• Community/Behavioral Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.