Organization Active NPI

Eric Bryan LLC

Doing business as Eric Bryan Therapy

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1831664861
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ERIC BRYAN LLC
Doing business as
Eric Bryan Therapy
Practice address
6544 Ferguson St
Indianapolis, IN 46220-1178
Phone
(317) 999-1202
Fax
(317) 296-7202
NPI assigned
Oct 5, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Mr. Eric Bryan, MA, LMHCNPI 1457714701
Title
Owner
Phone
(317) 999-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6544 Ferguson St
Indianapolis, IN 46220-1178

Mailing address

6544 Ferguson St
Indianapolis, IN 46220-1178
Phone (317) 999-1202

Other identifiers 1

IdentifierTypeStateIssuer
1457714701MedicaidIN

Other names 1

  • Eric Bryan Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1831664861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 FERGUSON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201178",
            "telephone_number": "317-999-1202",
            "fax_number": "317-296-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 FERGUSON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201178",
            "telephone_number": "317-999-1202",
            "fax_number": "317-296-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC BRYAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-999-1202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457714701",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Bryan Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.