Michele Wyatt Brady, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004063 Issued in GA

Practice address

3574 Highwood Dr SW
Atlanta, GA 30331-2517

Phone

(404) 910-3868

NPI assigned

Jan 28, 2007

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

• Michele Wyatt Irish Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michele.brady.1@30520.direct.athenahealth.com

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.

• Back on Track

  • Professional Counselor
  • Atlanta, GA
  • NPI 1386704518
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1093861213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 HIGHWOOD DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312517",
            "telephone_number": "404-910-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 HIGHWOOD DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312517",
            "telephone_number": "404-910-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Century Blvd NE",
            "address_2": "#8",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453315",
            "country_code": "US",
            "telephone_number": "404-320-6906",
            "fax_number": "404-320-6907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MICHELE",
        "middle_name": "WYATT",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "IRISH",
            "middle_name": "WYATT",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Brady
• Christopher Gordon Brady, D.M.D.
• Colin Martin Brady, M.D.
• Darragh S Brady, MD
• Maximilian Peter Brady
• Quentin C Brady
• Catherine Rose Caprara Braga, N.P.
• Ashley Bragg, BCBA
• Chris D Bragg, D.C
• Emily Bragg, SLP

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.