KATHRYN BRYAN
NPI 1689841629
Marriage & Family Therapist in Lake Forest, CA

Q: What is Kathryn Bryan's NPI number?

The NPI number for Kathryn Bryan is 1689841629. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Q: What is Kathryn Bryan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Bryan was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 09, 2008PECOS Enrolled

22978 EL TORO RD, LAKE FOREST, CA 92630(510) 317-1444 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 8, 2021, May 21, 2020, May 8, 2020 and 1 more (4 updates tracked since 2019).

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About Kathryn Bryan NPPES

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

KATHRYN BRYAN (NPI 1689841629) is an individual marriage & family therapist in Lake Forest, California, licensed in California (43235) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1689841629

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATHRYN BRYAN

Location Address22978 EL TORO RDLake Forest, CA 92630-4961

Mailing Address22978 El Toro RdLake Forest, CA 92630-4961 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Enumeration DateMay 9, 2008

Last NPPES UpdateDecember 8, 20214 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1689841629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 43235

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

22978 EL TORO RD, Lake Forest, CA 92630

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Secondary Practice Location 1

Location 12716 S Vermont AveLos Angeles, CA 90007-2671 · Phone (323) 810-9233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Bryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

LINDSEY NICOLE CANRELL

Technician, Health Information