Organization Active NPI

Bryanna Clark, Licensed Mental Health Counselor, PLLC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1457257412
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRYANNA CLARK, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Practice address
2450 W Ridge Rd Ste 304
Rochester, NY 14626-3037
Phone
(585) 431-6533
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Bryanna Clark, LMHC-DNPI 1073250601
Title
Owner
Phone
(585) 431-6533

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2450 W Ridge Rd Ste 304
Rochester, NY 14626-3037

Mailing address

2450 W Ridge Rd Ste 304
Rochester, NY 14626-3037
Phone (585) 431-6533

National Provider Directory

National Provider Directory

Locations

2450 W Ridge Rd
Ste 304
Rochester, NY 14626
Phone (585) 331-9604

Practitioners & affiliated clinicians

Practitioners 2

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": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1457257412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 304",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-431-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 304",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-431-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANNA CLARK, LICENSED MENTAL HEALTH COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-431-6533",
        "authorized_official_credential": "LMHC-D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.