CONNOR STAHL-BRYANT LMHC
NPI 1922674415
Counselor - Mental Health in Pembroke, MA

Q: What is Connor Stahl-bryant's NPI number?

The NPI number for Connor Stahl-bryant is 1922674415. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Connor Stahl-bryant's specialty?

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

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment

20 WINTER ST, PEMBROKE, MA 02359(781) 312-1393 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Connor Stahl-bryant Lmhc NPPES

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

CONNOR STAHL-BRYANT LMHC (NPI 1922674415) is an individual mental health provider in Pembroke, Massachusetts and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922674415

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCONNOR STAHL-BRYANTCredential: LMHC

Location Address20 WINTER STPembroke, MA 02359-4965

Mailing Address287 Commercial StWeymouth, MA 02188-2707 · (781) 974-2524

Phone(781) 312-1393

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 3, 2021

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1922674415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

20 WINTER ST, Pembroke, MA 02359

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Connor Stahl-bryant Lmhc 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 ID4880031103

PECOS Enrollment IDI20240322001003

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 Reassignments

Medicare enrollment records show Connor Stahl-bryant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empowered Change PLLC

16 mi

Mental Health (Including Community Mental Health Center)

1515 HANCOCK ST STE 306
Quincy, MA 02169

Reassigned Medicare billing, Massachusetts enrollment
8 clinicians in this Medicare group

NPI 1851149389 (401) 714-3014

Northeast Health Services, LLC

22 mi

Mental Health (Including Community Mental Health Center)

30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780

Reassigned Medicare billing, Massachusetts enrollment
689 clinicians in this Medicare group

NPI 1225067481 (508) 880-6666

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 20

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

NAOMI GRANT

Assistant Behavior Analyst