Broken Angel Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BROKEN ANGEL COUNSELING PLLC

Practice address

2208 US Highway 421 N
Boone, NC 28607-7692

Phone

(724) 968-2435

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Emily Jane Capps, LCMHCS LCAS CCS

Title

Owner/Therapist

Phone

(724) 968-2435

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1053151589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 421 N",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 421 N",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077692",
            "telephone_number": "724-968-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN ANGEL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "724-968-2435",
        "authorized_official_credential": "LCMHCS LCAS CCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Kay Brinegar, DNP, APRN, PMHNP-BC
• Morgan Hemphill Brinkman, PA-C
• Brio Esthetics and Wellness, LLC
• Robert Spencer Broce, PH.D., L.C.S.W.
• Ellen Jonel Brock-Hinson, TCM, QP
• Joshua Jefferson Broman-Fulks, PH.D.
• Bencita Bugarin Brooks, SLP
• Virginia Ann Brookshire, LCMHC
• Julie Browder, LMFTA
• Alycia Brown, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boone, NC
• Providers in Boone, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.