MR. BRYAN GILBERT STEPHENS LPC003199
NPI 1720290471
Counselor - Mental Health in Marietta, GA

Active since May 04, 2007Opted out of Medicare · through Dec 29, 2026
1012 COGGINS PL NE, MARIETTA, GA 30060(678) 736-6979 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Bryan Gilbert Stephens Lpc003199 NPPES

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

MR. BRYAN GILBERT STEPHENS LPC003199 (NPI 1720290471) is an individual mental health provider in Marietta, Georgia, licensed in Georgia (LPC003199) and active in the NPI registry since May 2007. He has opted out of Medicare through December 29, 2026.

NPPES Registry Identity

NPI1720290471
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRYAN GILBERT STEPHENSCredential: LPC003199
Location Address1012 COGGINS PL NEMarietta, GA 30060-2585
Mailing Address1028 Park Manor Ter NwMarietta, GA 30064-1455
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1720290471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC003199
1012 COGGINS PL NE, Marietta, GA 30060

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Bryan Gilbert Stephens Lpc003199 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 December 29, 2024 through December 29, 2026.

Opt-Out Effective DateDecember 29, 2024
Opt-Out In Effect ThroughDecember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
1012 COGGINS PL NE
MARIETTA, GA 30060
Nurse Practitioner (Psychiatric/Mental Health)
1012 COGGINS PL NE
MARIETTA, GA 30060
Social Worker (Clinical)
1012 COGGINS PL NE
MARIETTA, GA 30060
Psychiatry & Neurology (Psychiatry)
1012 COGGINS PL NE
MARIETTA, GA 30060
Nurse Practitioner (Psychiatric/Mental Health)
1012 COGGINS PL NE
MARIETTA, GA 30060
Clinical Nurse Specialist (Psychiatric/Mental Health)
1012 COGGINS PL NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720290471, enumerated as an "individual" on May 04, 2007.

The provider is located at 1012 COGGINS PL NE MARIETTA, GA 30060 and the phone number is (678) 736-6979.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Alliant Health Plans, Inc. and CareSource. Please consult your insurance carrier or call the provider to verify.