Jill Kathleen Bryant, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00984 Issued in IA

Practice address

1375 7TH Ave Ste D
Marion, IA 52302-3450

Phone

(319) 531-1149

Fax

(319) 538-0278

NPI assigned

Oct 26, 2005

Last updated

Jan 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1730179094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 7TH AVE STE D",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023450",
            "telephone_number": "319-531-1149",
            "fax_number": "319-538-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 7TH AVE STE D",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023450",
            "telephone_number": "319-531-1149",
            "fax_number": "319-538-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00984",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IA",
            "license": "212071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4720",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Marion, IA
• Providers in Marion, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.