Active NPI
Jenee Miranda Bryant, LCSW
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1578220901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW86757
- Practice address
- 561 Burnett Avenue
#1
San Francisco, CA 94131 - Phone
- (225) 445-1761
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW86757 | CA | Primary |
Addresses
Primary practice location
561 Burnett Avenue
#1
San Francisco, CA 94131
Mailing address
561 Burnett Avenue
#1
San Francisco, CA 94131
Phone (225) 445-1761
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW86757 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1578220901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 BURNETT AVENUE",
"address_2": "#1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94131",
"telephone_number": "225-445-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 BURNETT AVENUE",
"address_2": "#1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94131",
"telephone_number": "225-445-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JENEE",
"middle_name": "MIRANDA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW86757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.