Active NPI
Michael Tyler Bryan, LPC, PHD
- School Counselor
- Tucson, AZ
National Provider Identifier
1508519315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3316887
- Practice address
- 7698 W Innutian CT
Tucson, AZ 85743-1063 - Phone
- (928) 691-0069
- Fax
- (928) 691-0069
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10667 | AZ | |
| School Counselor | 101YS0200X | 3316887 | AZ | Primary |
Addresses
Primary practice location
7698 W Innutian CT
Tucson, AZ 85743-1063
Mailing address
7698 W Innutian CT
Tucson, AZ 85743-1063
Phone (928) 691-0069
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3316887 | AZ | MD | School Counselor |
| 10667 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1508519315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7698 W INNUTIAN CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857431063",
"telephone_number": "928-691-0069",
"fax_number": "928-691-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7698 W INNUTIAN CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857431063",
"telephone_number": "928-691-0069",
"fax_number": "928-691-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "MICHAEL",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "LPC, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "10667",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "3316887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.