Jade Bray

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1750 Ellington Rd Ste 3
South Windsor, CT 06074-2746

Phone

(860) 595-2377

NPI assigned

Sep 8, 2011

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bristol Hospital IncorporatedGroup PAC ID 9739084096, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jade.bray.p1@direct.wheelerclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Medicare reassignment Care Compare group NPD
• Mindful Liberation Counseling LLC

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1316608219
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1033490735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELLINGTON RD STE 3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742746",
            "telephone_number": "860-595-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELLINGTON RD STE 3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742746",
            "telephone_number": "860-595-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Between Now and Then (Between Now and Then, LLC)
• Lindsay Betzendahl, MA, LMFT
• Kristina Ann Biancardi
• Judit B Bodo-Maros, LMFT CHT MA
• Tanveer Singh Brar, M.D.
• Breathe,LLC
• Jeffrey Robert Breiter, M.D.
• Jessica M Bridge, MSN, CNM, WHNP
• Janis Inesis Briga, PH.D.
• Molly Brown, MSN, FNP-C

• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.