Active NPI
Tyrone Bryan
- Mental Health Counselor
- College Place, WA
National Provider Identifier
1730633470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1250 SE Commercial Dr
College Place, WA 99324-9721 - Phone
- (509) 867-0190
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1250 SE Commercial Dr
College Place, WA 99324-9721
Mailing address
PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084
Other practice location 1
115 S Golden St
Goldendale, WA 98620-9123
Phone (509) 773-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klickitat County Behavioral Health | Social Worker | Past | Accepting new patients |
| Jafco | Past | Accepting new patients | |
| Jewish Adoption and Foster Care Options,Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Goldendale, WA
- NPI 1427766757
Social Worker
-
- Foster Care Agency
- Sunrise, FL
- NPI 1083943237
-
- Community/Behavioral Health Agency
- Sunrise, FL
- NPI 1356400790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1730633470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989070959",
"telephone_number": "509-575-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SE COMMERCIAL DR",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993249721",
"telephone_number": "509-867-0190"
}
],
"practiceLocations": [
{
"address_1": "115 S Golden St",
"address_purpose": "LOCATION",
"city": "Goldendale",
"state": "WA",
"postal_code": "986209123",
"country_code": "US",
"telephone_number": "509-773-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "TYRONE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.