MR. BRUCE CHARLES WYMAN LPC, EDM, NCC
NPI 1821109331
Counselor - Professional in Rixeyville, VA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
10391 GREYSON LN, RIXEYVILLE, VA 22737(540) 937-4923(540) 937-7680 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Bruce Charles Wyman Lpc, Edm, Ncc NPPES

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

MR. BRUCE CHARLES WYMAN LPC, EDM, NCC (NPI 1821109331) is an individual professional provider in Rixeyville, Virginia, licensed in Virginia (0701003919) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1982).

NPPES Registry Identity

NPI1821109331
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRUCE CHARLES WYMANCredential: LPC, EDM, NCC
Location Address10391 GREYSON LNRixeyville, VA 22737-1730
Mailing AddressPo Box 373Rixeyville, VA 22737-0373 · (540) 937-4923 · Fax (540) 937-7680
Fax(540) 937-7680
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1982
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 13, 2014
✔ NPI 1821109331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701003919
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701003919 (VA)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 0701003919 (VA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0701003919 (VA)
10391 GREYSON LN, Rixeyville, VA 22737

Other Identifiers 4

Other4435897VA · Cigna Behavioral
Medicaid010375703VA
Other11654016VA · Caqh
OtherAS43-0001VA · Carefirst Bluecross Blueshield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bruce Charles Wyman Lpc, Edm, Ncc 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 ID3870937931
PECOS Enrollment IDI20240327002735
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.

Medicare Billing Reassignment

Medicare enrollment records show Bruce Wyman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
10391 GREYSON LN
Rixeyville, VA 22737
  • Reassigned Medicare billing, Virginia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
10391 GREYSON LN
RIXEYVILLE, VA 22737
Counselor (Mental Health)
10391 GREYSON LN
RIXEYVILLE, VA 22737
Counselor (Mental Health)
10391 GREYSON LN
RIXEYVILLE, VA 22737

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 Bruce Wyman's NPI number?

The NPI number for Bruce Wyman is 1821109331. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bruce Wyman located?

Bruce Wyman practices at 10391 Greyson Ln, Rixeyville, VA 22737. The listed phone number is (540) 937-4923.

What is Bruce Wyman's specialty?

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

Is Bruce Wyman enrolled in Medicare?

Yes. Bruce Wyman 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.

Which organization bills Medicare for Bruce Wyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Wyman reassigns Medicare benefits to Evergreen Behavioral Health Services,llc (Rixeyville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Wyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Wyman was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.