Individual provider Active NPI

Dustin Bryan

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1578985107
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1070 Issued in OK
Practice address
7477 E 46TH PL
Tulsa, OK 74145-6305
Phone
(918) 384-0002
Fax
(918) 384-0004
NPI assigned
Jan 16, 2014
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1070 OK Primary

Addresses

Primary practice location

7477 E 46TH PL
Tulsa, OK 74145-6305

Mailing address

2727 E. Admiral PL.
Tulsa, OK 74110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250203002055 OK Practitioner - Mental Health Counselor 1355870544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1070OKMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Interventions CurrentSince Jan 1, 2025 Accepting new patients
The Center for Therapeutic Interventions CurrentSince Jan 1, 2025 Accepting new patients

Locations

4100 SE Adams Rd
Ste E108
Bartlesville, OK 74006
Phone (918) 333-3828

7477 E 46th Pl
Tulsa, OK 74145
Phone (918) 384-0002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1578985107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E. ADMIRAL PL.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 E 46TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456305",
            "telephone_number": "918-384-0002",
            "fax_number": "918-384-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.