Individual provider Active NPI

Mark A Bratt, L.S.W.

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1083735393
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW012872L Issued in PA
Practice address
150 E 8TH St
1St Floor
Erie, PA 16501-1269
Phone
(814) 392-1244
NPI assigned
Apr 3, 2007
Last updated
Jul 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW012872L PA Primary

Addresses

Primary practice location

150 E 8TH St
1St Floor
Erie, PA 16501-1269

Mailing address

150 E 8TH St
1St Floor
Erie, PA 16501-1269
Phone (814) 392-1244

Other identifiers 1

IdentifierTypeStateIssuer
909588OtherPAHIGHMARK

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

LicenseStateTypeSpecialty
SW012872LPAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1083735393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-392-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-392-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATT",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW012872L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "909588",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.