DR. ANGELIA SHAW BRYANT NCC CCMHC CHT LPCC-S
NPI 1770868234
Counselor - Professional in Russell Springs, KY

Active since October 17, 2011PECOS EnrolledAccepts Medicare Assignment
2976 HIGHWAY 910, SUITE B, RUSSELL SPRINGS, KY 42642(270) 866-4753 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2021, Feb 8, 2019 (2 updates tracked since 2019).

About Dr. Angelia Shaw Bryant Ncc Ccmhc Cht Lpcc-s NPPES

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

DR. ANGELIA SHAW BRYANT NCC CCMHC CHT LPCC-S (NPI 1770868234) is an individual professional provider in Russell Springs, Kentucky, licensed in Kentucky (0031) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770868234
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ANGELIA SHAW BRYANTCredential: NCC CCMHC CHT LPCC-S
Location Address2976 HIGHWAY 910, SUITE BRussell Springs, KY 42642-8963
Mailing Address2976 Highway 910Russell Springs, KY 42642-8963 · (270) 566-1122
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 17, 2011
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
NPI 1770868234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 0031
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 103409 (KY)
2976 HIGHWAY 910, Russell Springs, KY 42642

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Angelia Shaw Bryant Ncc Ccmhc Cht Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284072299
PECOS Enrollment IDI20240409003687
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.

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 Angelia Bryant's NPI number?

The NPI number for Angelia Bryant is 1770868234. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Angelia Bryant located?

Angelia Bryant practices at 2976 Highway 910 Suite B, Russell Springs, KY 42642. The listed phone number is (270) 866-4753.

What is Angelia Bryant's specialty?

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

Is Angelia Bryant enrolled in Medicare?

Yes. Angelia Bryant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelia Bryant was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.