Jennifer Lynn Brady, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5028 Issued in MD

Practice address

877 Baltimore Annapolis Blvd
Suite 202
Severna Park, MD 21146-4700

Phone

(410) 303-3438

Fax

(410) 705-0535

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Pazderka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brady Mental Health & Wellness

  • Professional Counselor
  • Severna Park, MD
  • NPI 1669919312
  NPD (past) Authorized official

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1043471501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 TILLERMAN PL",
            "city": "CHESTNUT HILL COVE",
            "state": "MD",
            "postal_code": "212262225",
            "telephone_number": "410-303-3438",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464700",
            "telephone_number": "410-303-3438",
            "fax_number": "410-705-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PAZDERKA",
            "prefix": "MS.",
            "credential": "CAC-AD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Bowman, M.D.
• Bradford Counseling Services, LLC
• Talya Dawn Bradford, LCPC
• Morgan Bradshaw, RBT
• Brady Mental Health & Wellness
• Alex Braun, MS/OTRL
• Breakthrough Therapeutic Concepts, LLC.
• Brightview Severna Park, LLC
• Jennifer Marie Brinker, LCSW-C
• Patrick Michael Brophy, DDS

• Professional Counselor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.