Kelie Marie Bryson, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61472781 Issued in WA

Practice address

1157 3Rd Ave
Longview, WA 98632-6000

Phone

(360) 209-4525

NPI assigned

Nov 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1639943095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 NW BRIDGE RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986742923",
            "telephone_number": "360-553-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326000",
            "telephone_number": "360-209-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "KELIE",
        "middle_name": "MARIE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61472781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy M Browne, LMP
• Annie C Browning, AAC
• Christine Amber Bruce, ARNP
• Heather Bryan
• Teri A Bryant, LMP
• Adrian Bucerzan, MD
• Amanda Buckhalter, LPN
• Madeline Buckhalter, RN
• Nick Alan Buhler, MAML
• Bao Gia Bui, PHARMD

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.