Individual provider Active NPI

Kiona Monique Bryant-Clay, LPC

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1942983069
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012741 Issued in VA
Practice address
500 N Washington St Ste 102
Alexandria, VA 22314-2390
Phone
(703) 646-8806
Fax
(703) 507-5177
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 0701012741 VA Primary

Addresses

Primary practice location

500 N Washington St Ste 102
Alexandria, VA 22314-2390

Mailing address

510 Pinnacle Dr
Stafford, VA 22554-7544
Phone (540) 446-6057

Other names 1

  • Kiona Bryant Former name

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

LicenseStateTypeSpecialty
0701012741VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1942983069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PINNACLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547544",
            "telephone_number": "540-446-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142390",
            "telephone_number": "703-646-8806",
            "fax_number": "703-507-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT-CLAY",
        "first_name": "KIONA",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIONA",
            "last_name": "BRYANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.