NICOLE BRYAN
NPI 1184152605
Counselor - Professional in Mc Lean, VA

Active since May 29, 2017Opted out of Medicare · through Jan 1, 2028
1495 CHAIN BRIDGE RD STE 300, MC LEAN, VA 22101(703) 261-4082 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, May 29, 2017 (2 updates tracked since 2017).

About Nicole Bryan NPPES

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

NICOLE BRYAN (NPI 1184152605) is an individual professional provider in Mc Lean, Virginia, licensed in Virginia (0701007140) and active in the NPI registry since May 2017. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Chevy Chase.

NPPES Registry Identity

NPI1184152605
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE BRYAN
Location Address1495 CHAIN BRIDGE RD STE 300Mc Lean, VA 22101-5727
Mailing Address1495 Chain Bridge Rd Ste 300Mc Lean, VA 22101-5727
Sole ProprietorYes
Enumeration DateMay 29, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1184152605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in VA · 0701007140 Licensed in MD · LC6101
1495 CHAIN BRIDGE RD STE 300, Mc Lean, VA 22101

Secondary Practice Location 1

Location 15480 Wisconsin Ave Ste 222Chevy Chase, MD 20815-3568 · Phone (703) 261-4082

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nicole Bryan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Social Worker (Clinical)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Counselor (Mental Health)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Counselor (Mental Health)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Social Worker (Clinical)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Counselor (Professional)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Social Worker (Clinical)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101
Counselor (Mental Health)
1495 CHAIN BRIDGE RD STE 300
MC LEAN, VA 22101

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 Nicole Bryan's NPI number?

The NPI number for Nicole Bryan is 1184152605. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Where is Nicole Bryan located?

Nicole Bryan practices at 1495 Chain Bridge Rd Ste 300, Mc Lean, VA 22101. The listed phone number is (703) 261-4082.

What is Nicole Bryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Bryan enrolled in Medicare?

No. Nicole Bryan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Bryan was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.