Active NPI
Kerrion Bryan
- Mental Health Counselor
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13920
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH13920 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Spero Health of Virginia, LLC | Current | 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
- 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.
-
- Addiction Medicine (Family Medicine) Physician
- Martinsville, VA
- NPI 1104465103
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.