Omar Bryan, MA, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16318 Jamaica Ave
Jamaica, NY 11432-4919

Phone

(718) 658-0010

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1386378909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-658-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-658-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "MA, MHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruckner, DDS
• Todd Samuel Bruckner, DDS
• Tania Bruneau
• Natasha E Brutus, OTR/L
• Cyan Bryan-Jackson, L.P.N
• Sherrieka Bryan
• Claudette Bryant
• Doretha Louise Bryant, LMSW
• Vanessa Bryant
• Bse Hearing, Inc.

• Mental Health Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.