Bryan Wilson, ED.D., NCSP, BC-TMH

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP.00685 Issued in OH

Practice address

200 Putnam St Ste 410
Marietta, OH 45750-3009

Phone

(740) 401-9766

NPI assigned

Aug 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriving Rivers School Psychological and Educational Services, LLC

  • School Psychologist
  • Marietta, OH
  • NPI 1801689823
  NPD Authorized official
• Counseling & Wellness Center-Oh LLC

  • Mental Health Counselor
  • Belpre, OH
  • NPI 1942753504
  NPD (past)
• Fayette County Board of Education

  • Local Education Agency (LEA)
  • Fayetteville, WV
  • NPI 1568662609
  NPD (past)
• Fayette County Board of Education

  • Local Education Agency (LEA)
  • Fayetteville, WV
  • NPI 1760651483
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1679907984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 GREATHOUSE RD",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878400",
            "telephone_number": "304-550-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PUTNAM ST STE 410",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503009",
            "telephone_number": "740-401-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "ED.D., NCSP, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP.00685",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WV",
            "license": "N3R136200287",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "SP.00685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Williams
• Scott Anthony Williams, PHARMD
• Tamara Lynn Williams
• Alyssa Wilmes
• Ashley Lace Wilson, CDCA
• David L Wilson, MD
• Lacey N Wilson
• Tiffany Janelle Wince, MD
• Scott Wine, MD
• Luke Winters

• School Psychologist in Marietta, OH
• Providers in Marietta, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.