Emily Margaret Brake, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9071 Issued in NC

Practice address

249 E NC Highway 54
Suite 320
Durham, NC 27713-7512

Phone

(919) 753-1080

Fax

(919) 753-1089

NPI assigned

Sep 12, 2013

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

• Emily Margaret Reesman Former name

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1194150854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 BROOKBANK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155602",
            "telephone_number": "434-403-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54",
            "address_2": "SUITE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137512",
            "telephone_number": "919-753-1080",
            "fax_number": "919-753-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "EMILY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "REESMAN",
            "middle_name": "MARGARET",
            "credential": "LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Brady
• Nicole Jensen Brady, NNP-BC, RN-C
• Melanie L Braganza, M.D.
• Mark Stephen Brahier
• Tina Moore Braimah, RN, MSN, CNM
• Morgan Bralley
• Alexa Natalie Bramall, PH.D.M.D.
• Megan Tabatha Brame, P.A.
• Leo Brancazio, M.D.
• Branch Out NC, LLC

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.