Anna Vandenberg Bryant, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010170 Issued in GA

Practice address

5490 Hightower TRL SE
Social Circle, GA 30025-4632

Phone

(770) 826-2901

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Carol Vandenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1477041937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 HIGHTOWER TRL SE",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300254632",
            "telephone_number": "770-826-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 HIGHTOWER TRL SE",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300254632",
            "telephone_number": "770-826-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANNA",
        "middle_name": "VANDENBERG",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "VANDENBERG",
            "middle_name": "CAROL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Behavioral Innovations, LLC
• Gregory Binns, COTA
• Bramlett Rehabilitation Services, Inc
• Samantha Brown, PTA
• Haley Jones Bruce, MSN, APRN, FNP-C
• Belinda Doreen Chambers, NP
• CHC - Social Circle Nursing & Rehab Ctr, LLC
• Kwon S Choe, MD
• Tiari Lois Cluke
• Linda Nichole Allemani Daniels, MA

• Professional Counselor in Social Circle, GA
• Providers in Social Circle, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.