Active NPI
Emily Brynn Dyas, LPC
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1356605828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12850
- Practice address
- 8269 E 23Rd Ave Ste 100
Denver, CO 80238-3557 - Phone
- (720) 580-3904
- NPI assigned
- Jun 29, 2012
- Last updated
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3260 | AL | |
| Mental Health Counselor | 101YM0800X | 12850 | CO | Primary |
Addresses
Primary practice location
8269 E 23Rd Ave Ste 100
Denver, CO 80238-3557
Mailing address
10777 E 28TH PL
Denver, CO 80238-3222
Phone (205) 999-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12850 | CO | MD | Mental Health Counselor |
| 3260 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1356605828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10777 E 28TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802383222",
"telephone_number": "205-999-1196",
"fax_number": "205-968-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8269 E 23RD AVE STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802383557",
"telephone_number": "720-580-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYAS",
"first_name": "EMILY",
"middle_name": "BRYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3260",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "12850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.