Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. CHARLES WATERS BRYAN III LPC
NPI 1770482788
Counselor - Mental Health in Nampa, ID

Q: What is Charles Bryan's NPI number?

The NPI number for Charles Bryan is 1770482788. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Q: What is Charles Bryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Charles Bryan was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 November 04, 2026

4286 E AMITY AVE, NAMPA, ID 83687(208) 830-4547(208) 318-0218 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Charles Waters Bryan Iii Lpc NPPES

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

MR. CHARLES WATERS BRYAN III LPC (NPI 1770482788) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (3881239) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1770482788

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. CHARLES WATERS BRYAN IIICredential: LPC

Location Address4286 E AMITY AVENampa, ID 83687-8175

Mailing Address4286 E Amity AveNampa, ID 83687-8175 · (208) 830-4547 · Fax (208) 318-0218

Phone(208) 830-4547

Fax(208) 318-0218

Sole ProprietorYes

Enumeration DateNovember 4, 2026

NPPES CertifiedNovember 4, 2026

✔ NPI 1770482788 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 ID · 3881239

4286 E AMITY AVE, Nampa, ID 83687

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Other Providers at the Same Location NPPES 2

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

MARIA C SCOTT LPC

Counselor

4286 E AMITY AVE
NAMPA, ID 83687

Canyon County (208) 960-7164

MRS. JENNIFER KERNER VAHSHOLTZ LPC

Counselor (Mental Health)

4286 E AMITY AVE
NAMPA, ID 83687

Canyon County (208) 249-5773

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 Charles Bryan's NPI number?

The NPI number for Charles Bryan is 1770482788. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Charles Bryan located?

Charles Bryan practices at 4286 E Amity Ave, Nampa, ID 83687. The listed phone number is (208) 830-4547.

What is Charles Bryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Charles Bryan was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.