Kristen Antoinette Bragg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53534 Issued in CA

Practice address

1760 The Alameda Ste 100
San Jose, CA 95126-1728

Phone

(408) 963-6694

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Process Therapy Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1760990196
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1194457291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3003",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940240003",
            "telephone_number": "855-768-9333",
            "fax_number": "650-917-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 THE ALAMEDA STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261728",
            "telephone_number": "408-963-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KRISTEN",
        "middle_name": "ANTOINETTE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Matthew Brady
• Daniel Thomas Brady, P.T.
• Elaine W. Brady, LMFT
• Jordyn Victoria Brady
• Jenna Braga
• Todd Michael Bragg, D.C.
• Anuradha Brahma, MD
• Meytra Brahman
• Sashikant Brahmbhatt, PT, MHS, MBA
• Brain Mind Wellness Professional Clinical Counselors Inc.

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.