Paul Allen Brautigam, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001031938 Issued in MO

Practice address

501 1St Capitol Dr
Suite 4
Saint Charles, MO 63301-2768

Phone

(636) 946-1500

Fax

(636) 946-1516

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124040415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HICKORY HILL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661948",
            "telephone_number": "636-379-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 1ST CAPITOL DR",
            "address_2": "SUITE 4",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012768",
            "telephone_number": "636-946-1500",
            "fax_number": "636-946-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUTIGAM",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001031938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brao
• Nanette H. Bratton, MS, LPC
• Brendan Brause, PT
• Ellen Brause, PT
• Jan Brautigam, LCSW
• Kelly Lynn Bray, PT
• Breakthrough Behavioral Care, LLC
• Kenley Anne Breckenridge, PLPC
• Traci Ann Bredenkamp, LAC
• Hannah Christina Brein, DMD

• Professional Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.