Active NPI
Bryce Waite, MC, LPC
- Counselor
- Mesa, AZ
National Provider Identifier
1861276297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-24656
- Practice address
- 4360 E Brown Rd Ste 102
Mesa, AZ 85205-4084 - Phone
- (480) 420-7596
- NPI assigned
- Aug 24, 2023
- Last updated
- Mar 26, 2026
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-24656 | AZ | Primary |
Addresses
Primary practice location
4360 E Brown Rd Ste 102
Mesa, AZ 85205-4084
Mailing address
4360 E Brown Rd Ste 102
Mesa, AZ 85205-4084
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-24656 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1861276297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852054084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852054084",
"telephone_number": "480-420-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "BRYCE",
"credential": "MC, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-24656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.