Individual provider Active NPI

Bryan Affee

  • Mental Health Counselor
  • Delphi, IN
National Provider Identifier
1467066944
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3900376A Issued in IN
Practice address
1265 N Bradford Dr
Delphi, IN 46923-9553
Phone
(765) 564-2247
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3900376A IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20231127000174 IN Practitioner - Mental Health Counselor 9335597749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3900376AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Jan 1, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Jan 1, 2024 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

2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183

217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

415 N 26th St
Ste 102
Lafayette, IN 47904
Phone (765) 446-6535

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

920 W Executive Ct
Monticello, IN 47960
Phone (574) 446-6573

131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194

5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1467066944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 102",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042855",
            "telephone_number": "765-446-6562",
            "fax_number": "765-446-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N BRADFORD DR",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469239553",
            "telephone_number": "765-564-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFEE",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "3900376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.