Bryan Gilbert Stephens, LPC003199

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003199 Issued in GA

Practice address

1012 Coggins PL NE
Marietta, GA 30060-2585

Phone

(678) 736-6979

NPI assigned

May 4, 2007

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 29, 2024 through Dec 29, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Talk Forward, LLC

  dba TalkForward

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1043814924
  NPD Authorized official
• Highland Rivers Behavior Health

  dba Highland Rivers Health

  • Community/Behavioral Health Agency
  • Smyrna, GA
  • NPI 1992438667
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1720290471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 PARK MANOR TER NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 COGGINS PL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602585",
            "telephone_number": "678-736-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRYAN",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "credential": "LPC003199",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Steinichen, MD
• Stepahead Health
• Stephanie Sandherr LLC (Up Pediatric Therapy)
• Brittany Leanne Stephen
• Karen Felicia Stephens-Vasser, NP
• Carla Dianne Stephens, FNP-C
• Dan Stephens, D.D.S.
• Dan Bryan Stephens, M.D.
• Erica Fayer Stephens, PT, DPT
• Lori Beth Stephenson, RPH

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.