Bryan Affee
Individual provider Active NPI Mental Health Counselor · Delphi, IN
NPI 1467066944 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1467066944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3900376A (IN)
- Practice address
- 1265 N Bradford Dr
Delphi, IN 46923-9553 - Phone
- (765) 564-2247
- NPI assigned
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Oaks Health Inc
Practice addresses (Care Compare)
415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127000174 | IN | Practitioner - Mental Health Counselor | 9335597749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3900376A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Oaks Health Inc | Current |
Accepting new patients | |
| Valley Oaks Health Inc | Current |
Accepting new patients |
Locations
41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187
1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852
1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247
415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400
217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
415 N 26th St
Ste 102
Lafayette, IN 47904
Phone (765) 446-6535
920 W Executive Ct
Monticello, IN 47960
Phone (574) 583-7997
131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194
5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3900376A | IN | Yes |
Addresses
Primary practice location
1265 N Bradford Dr
Delphi, IN 46923-9553
Mailing address
415 N 26TH St Ste 102
Lafayette, IN 47904-2855
Phone (765) 446-6562
Other providers in Delphi, IN
All providers in Delphi, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.