Shaun Aurther Brynaert – Mental Health Counselor

Key facts

NPI: 1366046948
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 2514 First Ave
Ketchikan, AK 99901-5804
Phone: (907) 225-4664
Fax: (907) 885-6613
NPI assigned: Nov 24, 2020
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Resilient Youth & Community (Ryc) Community/Behavioral Health Agency · Ketchikan, AK · NPI 1043836851

NPD
Resilient Youth & Community (Ryc) Mental Health Clinic/Center (Including Community Mental Health Center) · Ketchikan, AK · NPI 1306909197

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Resilient Youth & Community (Ryc)		Current since Nov 29, 2020	Accepting new patients
Resilient Youth & Community (Ryc)		Current since Jun 8, 2025	Accepting new patients

Locations

2514 First Ave
Ketchikan, AK 99901
Phone (907) 202-8684

Interoperability endpoints

FHIR API: https://api.qualifacts.org/api/fhir/rycalaska/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

2514 First Ave
Ketchikan, AK 99901-5804

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475
Phone (907) 254-9338

Other identifiers

Identifier	Type	State	Issuer
1021118	Medicaid	AK
1584706	Medicaid	AK

Other providers in Ketchikan, AK

All providers in Ketchikan, AK · Mental Health Counselor in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.