Individual provider Active NPI

Kenneth Bryant

  • Marriage & Family Therapist
  • Bristol, RI
National Provider Identifier
1972051001
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MHC00811 Issued in RI
Practice address
67 Collins St
Bristol, RI 02809-3115
Phone
(401) 681-4274
Fax
(401) 681-4285
NPI assigned
Sep 19, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MHC00811 RI Primary

Addresses

Primary practice location

67 Collins St
Bristol, RI 02809-3115

Mailing address

67 Collins St
Bristol, RI 02809-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001223 RI Practitioner - Mental Health Counselor 0345684437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 HealthGroup PAC ID 7113968694, 22 clinicians

Practice addresses (Care Compare)

75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Jan 9, 2024 Accepting new patients

Locations

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1972051001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 COLLINS ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028093115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 COLLINS ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028093115",
            "telephone_number": "401-681-4274",
            "fax_number": "401-681-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KENNETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC00811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.