Bryan Tyer-Witek
Individual provider Active NPI Mental Health Counselor · Middletown, RI
NPI 1780058412 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1780058412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 58 E Main Rd
Middletown, RI 02842-4988 - Phone
- (401) 608-3322
- Fax
- (401) 608-3323
- NPI assigned
- Nov 18, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215001514 | RI | Practitioner - Mental Health Counselor | 7315381597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport County Community Mental Health Center, Inc | Current |
Accepting new patients |
Locations
42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213
127 Johnny Cake Hill Rd
Middletown, RI 02842
65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
58 E Main Rd
Middletown, RI 02842-4988
Mailing address
58 E Main Rd
Middletown, RI 02842-4988
Phone (401) 608-3322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780058412 | Medicaid | RI |
Other providers in Middletown, RI
- Trinity Healthy Living LLC
- Trinity Healthy Living LLC
- James Julias Turanski
- Alison Turner
- Jill Lorraine Turner
- Anita Chase Tzovolos
- University Concierge Medicine LLC
- University Orthopedics, Inc.
- Valley Primary Care Inc
- Maurine Buettner Van Hemelryck
All providers in Middletown, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.