Bryans Counseling Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-06160 Issued in NM

Legal business name

BRYANS COUNSELING SERVICE

Doing business as

John Bryan Stuppy

Practice address

2891 Clark CT
Santa Fe, NM 87507-5179

Phone

(505) 930-4550

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Bryan Stuppy, LISW/LADACNPI 1811982135

Title

Clinical Social Worke

Phone

(505) 930-4550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John Bryan Stuppy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bryan Stuppy, LISW, LADAC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1811982135
  NPD (past) Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1649579780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 CLARK CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075179",
            "telephone_number": "505-930-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 CLARK CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075179",
            "telephone_number": "505-930-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANS COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "STUPPY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKE",
        "authorized_official_telephone_number": "505-930-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW/LADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-06160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53052552",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Bryan Stuppy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iza Bruen-Morningstar
• Erin Sue Bruner, RN
• Eric Brunn, DOM
• Natalie Bruno, M.D.
• Brandi Brussel, LPCC
• Jennifer Bryant, CNA
• Jerri L Bryson, P.T.
• James Richard Buchanan, MD
• Elizabeth A Buck, LPCC
• Eric Raymond Buckley, DOM

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.