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KEISHA HINTON BRYAN LCSW, LCAS
NPI 1073799227
Social Worker - Clinical in Knightdale, NC

Active since January 18, 2008PECOS Enrolled
1008 BIG OAK CT STE F, KNIGHTDALE, NC 27545(919) 520-9392(919) 261-1675 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keisha Hinton Bryan Lcsw, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA HINTON BRYAN LCSW, LCAS (NPI 1073799227) is an individual clinical provider in Knightdale, North Carolina and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1073799227
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEISHA HINTON BRYANCredential: LCSW, LCAS
Location Address1008 BIG OAK CT STE FKnightdale, NC 27545-6566
Mailing Address4905 Ravelstone CtRaleigh, NC 27610-2897 · (919) 520-9392 · Fax (919) 261-1675
Phone(919) 520-9392
Fax(919) 261-1675
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJuly 1, 2013
✔ NPI 1073799227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1008 BIG OAK CT STE F, Knightdale, NC 27545
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Other Names 1

Former Name (1)Keisha Michelle Hinton Lcsw, Lcas

Other Identifiers 3

Medicare PIN2853543NC
Medicare PINQ407290281NC
Medicaid6112015NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Hinton Bryan Lcsw, Lcas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941339253
PECOS Enrollment IDI20100525000806
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keisha Bryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Renewal Counseling, PLLC
Same address
Clinical
1008 BIG OAK CT STE F
Knightdale, NC 27545
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1205276599 (919) 520-9392

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKE RENEWAL COUNSELING, PLLC
Social Worker (Clinical)
1008 BIG OAK CT STE F
KNIGHTDALE, NC 27545
Wake County (919) 520-9392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Bryan's NPI number?

The NPI number for Keisha Bryan is 1073799227. It was assigned to this individual provider in the NPPES registry on January 18, 2008. The provider is also known as Keisha Michelle Hinton Lcsw, Lcas.

Where is Keisha Bryan located?

Keisha Bryan practices at 1008 Big Oak Ct Ste F, Knightdale, NC 27545. The listed phone number is (919) 520-9392.

What is Keisha Bryan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Keisha Bryan enrolled in Medicare?

Yes. Keisha Bryan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keisha Bryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Bryan reassigns Medicare benefits to Wake Renewal Counseling, PLLC (Knightdale, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keisha Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisha Bryan accept?

Health plans from Blue Cross and Blue Shield of NC list Keisha Bryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keisha Bryan was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.