Jennifer Anne Schultz Bray, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4769 Issued in MA

Practice address

6 Pondview PL
Tyngsboro, MA 01879-1068

Phone

(978) 649-9980

NPI assigned

Aug 25, 2005

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

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.

• Clearview Center of New England, Inc.

  • Mental Health Counselor
  • Tyngsboro, MA
  • NPI 1104035401
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1083607964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WEST ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631230",
            "telephone_number": "978-925-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PONDVIEW PL",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791068",
            "telephone_number": "978-649-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ BRAY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4769",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ruggieri, MS, CCC-SLP
• Kerry Rumasuglia, LICSW
• Tessa Ryan
• William Joseph Ryan III, O.D.
• Suzanna Samuel
• Thomas Joseph Sherriff
• Avita Slopadoe
• Spaulding Hill Care
• Sudbury Vision Associates,Inc.
• Summit Group Inc

• Mental Health Counselor in Tyngsboro, MA
• Providers in Tyngsboro, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.