Active NPI
Tabatha Rae Brafford, LPC
- Mental Health Counselor
- Waynesville, NC
National Provider Identifier
1104982883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4109
- Practice address
- 91 Timberlane Rd
Waynesville, NC 28786-7927 - Phone
- (828) 452-1395
- Fax
- (828) 452-1396
- NPI assigned
- Dec 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4109 | NC | Primary |
Addresses
Primary practice location
91 Timberlane Rd
Waynesville, NC 28786-7927
Mailing address
PO Box 444
Murphy, NC 28906-0444
Phone (828) 837-0071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139PR | Other | NC | BCBS |
| 6102247 | Medicaid | NC |
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 |
|---|---|---|---|
| 4109 | NC | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1104982883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "MURPHY",
"state": "NC",
"postal_code": "289060444",
"telephone_number": "828-837-0071",
"fax_number": "828-837-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 TIMBERLANE RD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287867927",
"telephone_number": "828-452-1395",
"fax_number": "828-452-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAFFORD",
"first_name": "TABATHA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139PR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102247",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.