Bryn Evan Marcus, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8583 Issued in FL

Practice address

3900 Broadway Ste B1
Fort Myers, FL 33901-8193

Phone

(239) 939-2808

Fax

(239) 939-4794

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I-Bos Counseling Center, LLCGroup PAC ID 4587062864, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• I-Bos Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Cape Coral, FL
  • NPI 1851529150

  FL

  Medicare reassignment Care Compare group
• Children'S Advocacy Center of SW FL, Inc

  • Mental Health Counselor
  • Ft Myers, FL
  • NPI 1154324762

  Mental Health

  NPD (past)
• Children'S Advocacy Center of SWFL

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1386708204
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427199355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 SW 8TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339147012",
            "telephone_number": "941-504-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY STE B1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-939-2808",
            "fax_number": "239-939-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "BRYN",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruna Gomes Marciante
• Madelyn Marcinko, DPT
• David Fitzgerald Marconi, M.D.
• Maria Elisa Marconi, PA-C
• Sarah Marcuccio, RBT
• Miranda McGrath Marcus, APRN, CNM
• Mardi Gras Anesthesia LLC
• Kelly Marek
• Chaim J Margolin, MD
• Francine Margolin II

• All providers in Fort Myers, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.