Active NPI
Marla Christine Bryant, LPC
- Professional Counselor
- Florissant, MO
National Provider Identifier
1386418952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009030721
- Practice address
- 1032 Riverwood Place Dr
Florissant, MO 63031-8503 - Phone
- (314) 603-0193
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 2009030721 | MO | Primary |
Addresses
Primary practice location
1032 Riverwood Place Dr
Florissant, MO 63031-8503
Mailing address
1032 Riverwood Place Dr
Florissant, MO 63031-8503
Phone (314) 603-0193
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 |
|---|---|---|---|
| 2009030721 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1386418952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 RIVERWOOD PLACE DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318503",
"telephone_number": "314-603-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 RIVERWOOD PLACE DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318503",
"telephone_number": "314-603-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MARLA",
"middle_name": "CHRISTINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009030721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.