Kenneth Bryant
Individual provider Active NPI Marriage & Family Therapist · Bristol, RI
NPI 1972051001 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1972051001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MHC00811 (RI)
- Practice address
- 67 Collins St
Bristol, RI 02809-3115 - Phone
- (401) 681-4274
- Fax
- (401) 681-4285
- NPI assigned
- Sep 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Quality Behavioral Health
Practice addresses (Care Compare)
75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113
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 |
|---|---|---|---|---|
| I20240216001223 | RI | Practitioner - Mental Health Counselor | 0345684437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00811 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Current |
Accepting new patients |
Locations
75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MHC00811 | RI | Yes |
Addresses
Primary practice location
67 Collins St
Bristol, RI 02809-3115
Mailing address
67 Collins St
Bristol, RI 02809-3115
Other providers in Bristol, RI
- Bristol County Physical Therapy & Sports Rehabilitation LLC
- Bristol Neurology, Inc
- Bristol Walk in Center
- Bristol Warren Regional School District
- Bristol Warren Regional School District
- Molly Bucklin
- Megan Burgess
- Campagna Inc
- Chloe Campellone
- Courtney Blaine Frye Canario
All providers in Bristol, RI · Marriage & Family Therapist 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 Sep 19, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.