Individual provider Active NPI

Cody Bryant, LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1699197335
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWP-LCPC-LIC-6064 Issued in MT
Practice address
913 SW Higgins Ave Ste 201
Missoula, MT 59803-1423
Phone
(406) 431-7764
NPI assigned
Jan 15, 2014
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SWP-LCPC-LIC-6064 MT Primary

Addresses

Primary practice location

913 SW Higgins Ave Ste 201
Missoula, MT 59803-1423

Mailing address

913 SW Higgins Ave Ste 201
Missoula, MT 59803-1423
Phone (406) 431-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20260602001407 MT Practitioner - Mental Health Counselor 4385114263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

913 SW Higgins Ave
Suite 201
Missoula, MT 59803-1423
Phone (406) 431-7764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWP-LCPC-LIC-6064MTMDProfessional Counselor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1699197335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SW HIGGINS AVE STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031423",
            "telephone_number": "406-431-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SW HIGGINS AVE STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031423",
            "telephone_number": "406-431-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CODY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-LIC-6064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.