Active NPI
Kristen Brogna, LMHC
- Professional Counselor
- Cambridge, MA
National Provider Identifier
1063534220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5476
- Practice address
- 872 Massachusetts Ave. Ste 2-2
Ste 2-2, 2-7
Cambridge, MA 02139 - Phone
- (617) 395-5806
- NPI assigned
- Apr 6, 2007
- Last updated
- Mar 3, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5476 | MA | |
| Professional Counselor | 101YP2500X | 5476 | MA | Primary |
Addresses
Primary practice location
872 Massachusetts Ave. Ste 2-2
Ste 2-2, 2-7
Cambridge, MA 02139
Mailing address
1000 Jefferson St.
Ste. 2-2, 2-7
Lynchburg, VA 24504
Phone (617) 379-0496
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5476 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1063534220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JEFFERSON ST.",
"address_2": "STE. 2-2, 2-7",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24504",
"telephone_number": "617-379-0496",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 MASSACHUSETTS AVE. STE 2-2",
"address_2": "STE 2-2, 2-7",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-395-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGNA",
"first_name": "KRISTEN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5476",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "5476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.