Individual provider Active NPI

Andrea Brymer, LCAS- LPCA

  • Professional Counselor
  • Morganton, NC
National Provider Identifier
1538527205
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12585 Issued in NC
Practice address
617 S Green St
Suite 300
Morganton, NC 28655-3517
Phone
(828) 437-3000
Fax
(828) 437-4999
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21317 NC
Professional Counselor 101YP2500X A12585 NC Primary

Addresses

Primary practice location

617 S Green St
Suite 300
Morganton, NC 28655-3517

Mailing address

617 S Green St
Suite 300
Morganton, NC 28655-3517
Phone (828) 437-3000

Other identifiers 2

IdentifierTypeStateIssuer
LCASA 21317OtherNCLICENSE
A12585OtherNCLICENSE

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

State licenses

LicenseStateTypeSpecialty
21317NCMDAddiction (Substance Use Disorder) Counselor
A12585NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1538527205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S GREEN ST",
            "address_2": "SUITE 300",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553517",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S GREEN ST",
            "address_2": "SUITE 300",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553517",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYMER",
        "first_name": "ANDREA",
        "credential": "LCAS- LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21317",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCASA 21317",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A12585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.