Look up the most recent NPI and PECOS records

Bryan Mccormick

Counselor

Behavioral Health & Social Service Providers

1801 American Blvd E, Bloomington, MN 55425-1232

PECOS Enrollment

Based on the most recent information from CMS, provider Bryan Mccormick is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1518345107
Provider Type
Individual
Full Name
Mccormick, Bryan
Title
Mr.
Credential
LPCC, LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/14/2015
Last Updated
1/3/2022

Contact Information

Practice Location

1801 American Blvd E, Bloomington, MN 55425-1232

(612) 767-7222

Unlisted Fax

Mailing Location

1801 American Blvd E, Bloomington, MN 55425-1232

(612) 767-7222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH12321 Florida

Bryan Mccormick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hajj-Ali, Zackary

Wall, Taylor Katherine

Yussuf, Amar Deeq

Bashir, Suweyda

Jimaale, Mumina Rabe

Welcare Inc

Dualeh, Muna

Adan, Ibrahim Mohamed

Abdi, Nefiso

Noor, Sumayo