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

Bryan Wayne Anderson, NCC

Individual provider Mental Health Counselor · NPI 1861161432

Bryan Wayne Anderson, NCC is a Mental Health Counselor in Pocatello, Idaho. Qualified in 2016, 10 years ago. Practices with East Idaho Mental Health LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2021
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

151 N 3rd Ave Ste 330
Pocatello, ID 83201-6369
Phone: (208) 242-3771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1861161432
Entity typeIndividual (Type 1)
GenderMale
Credentials NCC
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice East Idaho Mental Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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