Individual provider Active NPI

Cheryl Lynn Bryant, LCSW-C

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1770249435
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19593 Issued in MD
Practice address
4715 Leeds Ave
Baltimore, MD 21227-1402
Phone
(443) 791-7148
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19593 MD Primary

Addresses

Primary practice location

4715 Leeds Ave
Baltimore, MD 21227-1402

Mailing address

4715 Leeds Ave
Halethorpe, MD 21227-1402
Phone (443) 791-7148

Other identifiers 1

IdentifierTypeStateIssuer
781302300MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cheryl.bryant@nphcinc.com Direct
Direct Messaging Address cheryl.bryant@nphcinc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220209000035 MD Practitioner - Clinical Social Worker 3173916426 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Pike Health Center Mental Health CurrentSince Feb 2, 2022 Accepting new patients

Locations

5411 Old Frederick Rd
Ste 13
Baltimore, MD 21229
Phone (410) 744-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1770249435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 LEEDS AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271402",
            "telephone_number": "443-791-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 LEEDS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271402",
            "telephone_number": "443-791-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "19593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781302300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.bryant@nphcinc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "address",
            "address_1": "9826 Linden Hill Rd",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211176150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.bryant@nphcinc.com",
            "affiliation": "N",
            "address_1": "10061 Padua Way",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211174066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.