Individual provider Active NPI

Chandler Bryan, LPC

  • Professional Counselor
  • Rogers, AR
National Provider Identifier
1689206971
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2401015 Issued in AR
Practice address
2106 S 54TH St Ste 3
Rogers, AR 72758-8198
Phone
(479) 481-4156
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 A2007103 AR
Professional Counselor 101YP2500X P2401015 AR Primary

Addresses

Primary practice location

2106 S 54TH St Ste 3
Rogers, AR 72758-8198

Mailing address

2106 S 54TH St Ste 3
Rogers, AR 72758-8198
Phone (479) 481-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212001319 AR Practitioner - Mental Health Counselor 4981047495 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2007103ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Ozark Guidance Center, Inc CurrentSince Jan 31, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Ozark Guidance Center, Inc CurrentSince Jan 31, 2024 Accepting new patients
Arisa Health, Inc. Mental Health Current Accepting new patients
Pathways Counseling Nwa LLC Mental Health Past Accepting new patients

Locations

2003 SE Walton Blvd
Bentonville, AR 72712
Phone (479) 464-5925

1104 N College St
Huntsville, AR 72740
Phone (479) 738-2878

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

3302 E Moore Ave
Ofc 5
Searcy, AR 72143

710 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-8618

710 S Holly St
Ste 10
Siloam Springs, AR 72761
Phone (479) 524-8618

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1689206971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 S 54TH ST STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588198",
            "telephone_number": "479-481-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S 54TH ST STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588198",
            "telephone_number": "479-481-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "CHANDLER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2007103",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2401015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.