NICOLE BRYAN
NPI 1184152605
Counselor - Professional in Mc Lean, VA
NPI Status: Active since May 29, 2017
Contact Information
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA
ZIP 22101
Phone: (703) 261-4082
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About NICOLE BRYAN
This page provides the complete NPI Profile along with additional information for Nicole Bryan, a provider established in Mc Lean, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1184152605 assigned on May 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 0701007140 (VA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1184152605
- Provider Name
- NICOLE BRYAN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101
- Location Phone
- (703) 261-4082
- Mailing Address
- 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-29-2017
- Last Update Date
- 03-17-2018
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Nicole Bryan opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5480 Wisconsin Ave Ste 222
Chevy Chase, MD 20815
(703) 261-4082
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0701007140
- License State
- VA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | LC6101 (MD) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for NICOLE BRYAN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 1 | 5 | 2 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 2 | 5 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 2 + 5 + 4 + 6 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1184152605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336461359 | SARA L TUKE MA, LPC, LCPC Individual | Counselor (Mental Health) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 745-2014 |
| 1760860274 | MS. MELISA ATKESON LCSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 980-7452 |
| 1821506759 | JOANNA LITVAK EHAT LCSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 801-8768 |
| 1043788672 | ALLISON RENE MITCHELL LCSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 589-5559 |
| 1568126043 | ANNE MOSIMANN Individual | Counselor (Professional) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 239-4458 |
| 1205586039 | DAVID PARK Individual | Counselor (Mental Health) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
| 1649913542 | BRIANNA GLENELLE HURLEY Individual | Counselor (Mental Health) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (571) 384-8363 |
| 1972247930 | MR. MATTHEW RAYMOND LCSW Individual | Counselor (Mental Health) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
| 1386370922 | JULIANNE KELLER REILLY LCSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
| 1912777103 | EMILY LONEY KLIPPER Individual | Counselor (Mental Health) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 851-7975 |
| 1912762493 | JESSICA WILEY MSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
| 1194272138 | MISS AMANDA JILL CLONINGER LMSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
| 1639928468 | JAMIE BOWERS TOLSON MSW Individual | Social Worker (Clinical) | 1495 CHAIN BRIDGE RD STE 300 MC LEAN, VA 22101 (703) 598-5559 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184152605, enumerated in the NPI registry as an "individual" on May 29, 2017
The provider is located at 1495 Chain Bridge Rd Ste 300 Mc Lean, Va 22101 and the phone number is (703) 261-4082
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on May 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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