Stanley Robert Bryant III, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259185 Issued in KY

Practice address

234 Amy Ave
Louisville, KY 40212-2522

Phone

(502) 778-0001

NPI assigned

Mar 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  Medicare reassignment Care Compare group NPD
• Shawnee Christian Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1225333743

  Clinical

  Medicare reassignment NPD
• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Addiction (Substance Use Disorder)

  NPD
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD
• Lifespring, Inc

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1982083564
  NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1760913404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-778-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-778-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021716",
            "country_code": "US",
            "telephone_number": "502-583-3951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8521 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402423800",
            "country_code": "US",
            "telephone_number": "502-426-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "STANLEY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "272984",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011370A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Bryant, M.S., CCC-SLP
• Kristina Kruer Bryant, MD
• Kristy Bryant, DNP, FNP-C
• Mary M Bryant, MD
• Scott Christopher Bryant, PHARMD
• Stephanie Mesha Bryant, APRN
• Tameria Bryant
• Tracer Lee Bryant
• Desarae S Brymer, LCSW
• Leah Brymer

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.