SAMUEL PAUL BRYANT (NPI# 1811552581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811552581 |
| Entity Type | Individual |
| Full Name | SAMUEL PAUL BRYANT |
| Credential | LPC |
| Practice Address |
1024 W Fremont Ave Mesa AZ 85210-9316 |
| Practice Telephone | 4802138452 |
| Mailing Telephone | 4802138452 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-17894 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-17894 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17894 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369982 | Samuel Bryant | Case Manager/Care Coordinator | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2018-06-11 |
| Street Address |
1024 W FREMONT AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85210-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1538780572 | Larry Jay Solomon | Counselor | 10710 E Medina Ave, Mesa, AZ 85209-3213 | 2020-04-30 |
| 1902427263 | Kelly Ann Meis I | Counselor | 3707 E Southern Ave Ste 1023, Mesa, AZ 85206-6202 | 2020-04-28 |
| 1518592971 | Debra L Delvecchio-lee | Counselor | 2152 S Vineyard Bldg 4, Mesa, AZ 85210-6871 | 2020-03-05 |
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1205497187 | Bonita Belinda Becker | Counselor | 3740 E Southern Ave Ste 120, Mesa, AZ 85206-2568 | 2019-06-22 |
| 1558927996 | Angeline Reine | Counselor | 4111 E Valley Auto Dr Ste 209-4, Mesa, AZ 85206-4605 | 2019-05-10 |
| 1639733520 | Randi Shuriee Gray | Counselor | 3740 E Southern Ave Ste 209, Mesa, AZ 85206-2512 | 2019-04-25 |
| 1396210324 | Austin Christopher Reina | Counselor | 2407 E Jacinto Ave, Mesa, AZ 85204-7008 | 2018-10-05 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.