Individual provider Active NPI

Crystal Jade Major Bryan, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1669133393
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19534 Issued in FL
Practice address
2054 Vista Pkwy Ste 418
West Palm Beach, FL 33411-6741
Phone
(561) 221-2733
NPI assigned
Jan 5, 2022
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19534 FL Primary

Addresses

Primary practice location

2054 Vista Pkwy Ste 418
West Palm Beach, FL 33411-6741

Mailing address

2140 SW English Garden Dr
Palm City, FL 34990-8617
Phone (954) 980-5326

Other names 1

  • Jade Major Bryan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19534FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1669133393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 SW ENGLISH GARDEN DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908617",
            "telephone_number": "954-980-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 418",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116741",
            "telephone_number": "561-221-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR BRYAN",
        "first_name": "CRYSTAL JADE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "MAJOR BRYAN",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.