Active NPI
Constance Bravos-Williams
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1003153768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1607
- Practice address
- 1850 Gateway Blvd Ste 900
Concord, CA 94520-8418 - Phone
- (925) 825-4700
- NPI assigned
- Jan 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1607 | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1850 Gateway Blvd Ste 900
Concord, CA 94520-8418
Mailing address
1850 Gateway Blvd Ste 900
Concord, CA 94520-8418
Phone (925) 825-4700
Other names 1
- Constance Bravos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 6, 2024 through Dec 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1003153768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 GATEWAY BLVD STE 900",
"city": "CONCORD",
"state": "CA",
"postal_code": "945208418",
"telephone_number": "925-825-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GATEWAY BLVD STE 900",
"city": "CONCORD",
"state": "CA",
"postal_code": "945208418",
"telephone_number": "925-825-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVOS-WILLIAMS",
"first_name": "CONSTANCE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-14",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1607",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONSTANCE",
"last_name": "BRAVOS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.