Bryna Leigh Dunham, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC005220 Issued in GA

Practice address

120 E Trinity PL
Decatur, GA 30030-3302

Phone

(404) 450-2567

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wisteria Counseling

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1346977931
  NPD Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1598235384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GENTRYS WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411204",
            "telephone_number": "912-245-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E TRINITY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303302",
            "telephone_number": "404-450-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "BRYNA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT",
            "identifier": "APC005220",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus James Dumas
• Erica Joan Duncan, MD
• Erin Meade Duncan, MD, MPH
• Jennifer Coffee Duncan, LPC
• Kenyada Antoinette Duncan, LCSW
• Daniel Dunlap, PA-C
• Marisa Dunn, MD
• Steven Frank Dunton, MD
• Phong X Duong, PHARMACIST
• Menandie Duplessis, OTR/L

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.