Individual provider Active NPI

Kerrion Bryan

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1508419375
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13920 Issued in FL
Practice address
5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448
Phone
(561) 557-6651
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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 MH13920 FL Primary

Addresses

Primary practice location

5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448

Mailing address

100 Weybridge Cir Apt B
Royal Palm Beach, FL 33411-1503
Phone (954) 599-4527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240320000919 VA Practitioner - Mental Health Counselor 8921445446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH13920FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Spero Health of Virginia, LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

789 Piney Forest Rd
Ste 1
Danville, VA 24540
Phone (434) 208-2987

30 Town Center Dr
Dublin, VA 24084
Phone (540) 779-7516

315 W 10th St
Ste B
Front Royal, VA 22630
Phone (540) 779-7639

105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

338 Coeburn Ave SW
Ste 336
Norton, VA 24273
Phone (276) 325-7608

34 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 592-6348

2502 Broadway Ave SW
Roanoke, VA 24014
Phone (540) 344-2000

110 E High St
#B
Woodstock, VA 22664
Phone (540) 779-7491

Interoperability endpoints

  • Direct secure messaging: kerrionbryan@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1508419375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEYBRIDGE CIR APT B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111503",
            "telephone_number": "954-599-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072448",
            "telephone_number": "561-557-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KERRION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.