Active NPI
Ashley Brooke Bryan
- Mental Health Counselor
- Lake Stevens, WA
National Provider Identifier
1497363584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10510 Oak Rd
Lake Stevens, WA 98258-8129 - Phone
- (425) 953-3559
- NPI assigned
- Jul 15, 2020
- Last updated
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
10510 Oak Rd
Lake Stevens, WA 98258-8129
Mailing address
10510 Oak Rd
Lake Stevens, WA 98258-8129
Phone (425) 953-3559
Other practice location 1
11417 124th Ave NE
Kirkland, WA 98033-4677
Phone (425) 953-3559
Other names 1
- Ashley Brooke Hanson
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": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1497363584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10510 OAK RD",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982588129",
"telephone_number": "425-953-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 OAK RD",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982588129",
"telephone_number": "425-953-3559"
}
],
"practiceLocations": [
{
"address_1": "11417 124th Ave NE",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980334677",
"country_code": "US",
"telephone_number": "425-953-3559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "ASHLEY",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "HANSON",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.