Active NPI
Bryce Wilson, MA, LMHC, LMFT
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1952582843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00010388
- Practice address
- 5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206 - Phone
- (253) 446-7176
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00010388 | WA | Primary |
Addresses
Primary practice location
5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206
Mailing address
5620 112TH St E
Ste. 215
Puyallup, WA 98373-3206
Phone (253) 446-7176
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010388 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryce Wilson, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1952582843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 112TH ST E",
"address_2": "STE. 215",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733206",
"telephone_number": "253-446-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 112TH ST E",
"address_2": "STE. 215",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733206",
"telephone_number": "253-446-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRYCE",
"name_prefix": "Mr.",
"credential": "MA, LMHC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00010388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.