Active NPI
James W Bryer, L.P.
- Counseling Psychologist
- Waite Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP1020
- Practice address
- 110 2ND St S
Ste 301
Waite Park, MN 56387-1314 - Phone
- (320) 252-2976
- Fax
- (320) 656-1570
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP1020 | MN | Primary |
Addresses
Primary practice location
110 2ND St S
Ste 301
Waite Park, MN 56387-1314
Mailing address
110 2ND St S
Ste 301
Waite Park, MN 56387-1314
Phone (320) 252-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516247500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Ohio State University College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 2ND S St
Suite 301
Waite Park, MN 56387-1314
Phone (320) 252-2976
110 2ND St S
Suite 301
Waite Park, MN 56387-1314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1020 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Processus P.a. | Counseling | Current | Accepting new patients |
Locations
110 2nd St S
Ste 301
Waite Park, MN 56387
Phone (320) 240-9595
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": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1972521052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "STE 301",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871314",
"telephone_number": "320-252-2976",
"fax_number": "320-656-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "STE 301",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871314",
"telephone_number": "320-252-2976",
"fax_number": "320-656-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYER",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP1020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "516247500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.