Individual provider Active NPI

Breeann Delynn Bryson

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1639731755
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61354525 Issued in WA
Practice address
324 W Bay Dr NW Ste 216
Olympia, WA 98502-4926
Phone
(360) 790-4201
Fax
(360) 584-9248
NPI assigned
Jun 28, 2019
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LH61354525 WA Primary

Addresses

Primary practice location

324 W Bay Dr NW Ste 216
Olympia, WA 98502-4926

Mailing address

324 W Bay Dr NW Ste 216
Olympia, WA 98502-4926
Phone (360) 790-4201

Other practice location 1

1801 W Bay Dr NW Ste 208B
Olympia, WA 98502-4310
Phone (360) 790-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Community Healthcare CurrentSince Apr 20, 2024 Accepting new patients
Cascade Community Healthcare Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

2428 W Reynolds Ave
Centralia, WA 98531

135 W Main St
Chehalis, WA 98532
Phone (360) 748-4339

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1639731755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW STE 216",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-790-4201",
            "fax_number": "360-584-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW STE 216",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-790-4201",
            "fax_number": "360-584-9248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Bay Dr NW Ste 208B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985024310",
            "country_code": "US",
            "telephone_number": "360-790-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "BREEANN",
        "middle_name": "DELYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61354525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.