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

Mason Andreas Bryan

Individual provider Mental Health Counselor · NPI 1194450924

Mason Andreas Bryan is a Clinical Social Worker in Lakeland, Florida. Qualified in 2020, 6 years ago. Practices with Blue Moon Senior Counseling, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2022

Practice location Address checks out

1010 E Rose St
Lakeland, FL 33801-2016
Phone: (863) 413-3126
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194450924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022
Mailing address1010 E Rose St, Lakeland, FL 33801-2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Blue Moon Senior Counseling — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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