Mark Briggs, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRO12505-1 Issued in NY

Practice address

412 Maple Dr
Fayetteville, NY 13066-1734

Phone

(315) 432-1514

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Oct 20, 2014.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1164587879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MAPLE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661734",
            "telephone_number": "315-446-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAPLE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661734",
            "telephone_number": "315-432-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PRO12505-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Brackley, OD
• Carole S. Bragdon, MSW, LCSW
• Denis F Branson, MD
• Susan Hartman Brenizer, M.A., LMFT (LICENSED
• Erica L Brier-Kennedy, LMFT
• Jenaye Karin Broe, FNP-C
• Dana Rae Brompton, DDS
• Vadjista Broumand, MD
• Edith P Brown, LMHC
• Joseph Bulone

• All providers in Fayetteville, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.