Organization Active NPI

Bryan Bass-Riley Licensed Professional Counselor, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, PA
National Provider Identifier
1376161919
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRYAN BASS-RILEY LICENSED PROFESSIONAL COUNSELOR, LLC
Practice address
3825 Northern Pike Ste 202
Monroeville, PA 15146-2161
Phone
(412) 737-4378
Fax
(412) 844-2060
NPI assigned
Jul 9, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Mr. Bryan Bass-Riley, LPCNPI 1740530245
Title
Owner
Phone
(412) 737-4378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3825 Northern Pike Ste 202
Monroeville, PA 15146-2161

Mailing address

175 Autumn Dr
Trafford, PA 15085-1448
Phone (412) 737-4378

National Provider Directory

National Provider Directory

Locations

3825 Northern Pike
Ste 202
Monroeville, PA 15146
Phone (412) 610-1434

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1376161919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 AUTUMN DR",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851448",
            "telephone_number": "412-737-4378",
            "fax_number": "412-844-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 NORTHERN PIKE STE 202",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462161",
            "telephone_number": "412-737-4378",
            "fax_number": "412-844-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BASS-RILEY LICENSED PROFESSIONAL COUNSELOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "BASS-RILEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-737-4378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.