Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Frazier, LPC-IT

Individual provider Professional Counselor · NPI 1114681848

Bryan Frazier, LPC-IT is a Mental Health Counselor in Madison, Wisconsin. Qualified in 2019, 7 years ago. Practices with La Clinica De Los Campesinos, Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2021

Practice location Address checks out

49 Kessel Ct
Madison, WI 53711-6200
Phone: (608) 280-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5086-226 (WI)

Record details

NPI number1114681848
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice La Clinica De Los Campesinos, Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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