Individual provider Active NPI

Susan Daley Bray, REGISTERED NURSE

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1033226279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0001087717 Issued in VA
Practice address
8850 Richmond Hwy
Suite 202
Alexandria, VA 22309-1586
Phone
(703) 704-7025
Fax
(703) 799-1053
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0001087717 VA Primary

Addresses

Primary practice location

8850 Richmond Hwy
Suite 202
Alexandria, VA 22309-1586

Mailing address

8850 Richmond Hwy
Suite 202
Alexandria, VA 22309-1586
Phone (703) 704-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001087717VAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033226279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 RICHMOND HWY",
            "address_2": "SUITE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091586",
            "telephone_number": "703-704-7025",
            "fax_number": "703-799-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 RICHMOND HWY",
            "address_2": "SUITE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091586",
            "telephone_number": "703-704-7025",
            "fax_number": "703-799-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "SUSAN",
        "middle_name": "DALEY",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0001087717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.