MEDICARE: TRISTIAN BRYANT MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC.00.24298	CO

General Provider Information

NPI Number	:	1720946916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISTIAN BRYANT MA, LPCC

Provider Business Mailing Address
First Line	:	12000 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3143
Country	:	US
Telephone Number	:	303-732-6881
Fax Number	:

Provider Business Practice Location Address
First Line	:	12000 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3143
Country	:	US
Telephone Number	:	303-732-6881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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