Jamie Bryant, LPCA
Individual provider Active NPI Counselor · Tompkinsville, KY
NPI 1639067390 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1639067390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 294855 (KY)
- Practice address
- 800 N Main St Ste B
Tompkinsville, KY 42167-1037 - Phone
- (270) 487-0720
- Fax
- (270) 487-0712
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294855 | KY | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 294855 | KY | Yes |
Addresses
Primary practice location
800 N Main St Ste B
Tompkinsville, KY 42167-1037
Mailing address
PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4263
Other providers in Tompkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.