Individual provider Active NPI

Bryan Maynard, M. DIV., LPC-MHSP

  • Mental Health Counselor
  • Franklin, TN
National Provider Identifier
1497114698
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3566 Issued in TN
Practice address
367 Riverside Dr
Franklin, TN 37064-8984
Phone
(615) 516-9985
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 3566 TN Primary

Addresses

Primary practice location

367 Riverside Dr
Franklin, TN 37064-8984

Mailing address

1909 Kingsley CT
Franklin, TN 37067-8547
Phone (615) 516-9985

Other names 1

  • Mr. Bryan Maynard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1497114698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 KINGSLEY CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678547",
            "telephone_number": "615-516-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 RIVERSIDE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648984",
            "telephone_number": "615-516-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "BRYAN",
        "credential": "M. DIV., LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "MAYNARD",
            "prefix": "MR.",
            "credential": "M. DIV., LPC-MHSP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.