Active NPI
Danielle Lasure-Bryant, ED.D.
- Professional Counselor
- Brandywine, MD
National Provider Identifier
1376829804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3163
- Practice address
- 11600 Cedarville Road
Brandywine, MD 20613 - Phone
- (410) 569-9497
- Fax
- (410) 569-0094
- NPI assigned
- Oct 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3163 | MD | Primary |
Addresses
Primary practice location
11600 Cedarville Road
Brandywine, MD 20613
Mailing address
2227 Old Emmorton Road
Suite 119
Bel Air, MD 21015
Phone (410) 569-9497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3163 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1376829804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON ROAD",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 CEDARVILLE ROAD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "20613",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASURE-BRYANT",
"first_name": "DANIELLE",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.