Active NPI
David J Bryan, LPC
- Professional Counselor
- Allen, TX
National Provider Identifier
1972092450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73725
- Practice address
- 1115 Dove Brook Dr Ste 200
Allen, TX 75002-2702 - Phone
- (972) 885-8987
- NPI assigned
- May 9, 2018
- Reactivated
- Feb 13, 2024
- Last updated
- Feb 14, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73725 | TX | Primary |
Addresses
Primary practice location
1115 Dove Brook Dr Ste 200
Allen, TX 75002-2702
Mailing address
1115 Dove Brook Dr
Ste 200
Allen, TX 75002-2702
Phone (972) 885-8987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73725 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Technologies, Inc. | Current | Accepting new patients | |
| Bowen Counseling Solutions, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba The Marriage Place
- Professional Counselor
- Richardson, TX
- NPI 1336662121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1972092450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 DOVE BROOK DR",
"address_2": "STE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750022702",
"telephone_number": "972-885-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 DOVE BROOK DR STE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750022702",
"telephone_number": "972-885-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "DAVID",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"deactivation_date": "2024-02-08",
"reactivation_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
- Katrina Brown, LMFT-S
- Leslie A. Brown, CNM
- Shannon Brown, LPC
- Matthew James Bruno, PA C
- Bryan Technologies, Inc. (DJB Counseling)
- Brythaven Senior Living LLC (Brythaven Balmorhea)
- Brythaven Senior Living LLC
- BSW Geode Clinicians of Texas PLLC (Geode Health 2)
- Btdi JV, LLP (Touchstone Imaging Allen)
- Brandon James Bucaoto, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.