Active NPI
Brandie Latrice Fraction, LPC
- Professional Counselor
- Roanoke, VA
National Provider Identifier
1205144995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004912
- Practice address
- 3517 Brandon Ave SW
Roanoke, VA 24018-1523 - Phone
- (540) 344-4042
- Fax
- (540) 345-6770
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004912 | VA | Primary |
Addresses
Primary practice location
3517 Brandon Ave SW
Roanoke, VA 24018-1523
Mailing address
301 Elm Ave SW
Roanoke, VA 24016-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437137734 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701004912 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1205144995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ELM AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 BRANDON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181523",
"telephone_number": "540-344-4042",
"fax_number": "540-345-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRACTION",
"first_name": "BRANDIE",
"middle_name": "LATRICE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437137734",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
- Fountain Square Internal Medicine
- Andrea Lucas Foutz, ED.S.
- Neressa Gultiano Foutz, RN
- Roger Wright Foutz Jr., R.PH
- Martha Foy, L.P.C.
- Lauren Beth Fraedrich, M.ED., BCBA, LBA
- Ester Fraim, FNP
- Fralin Biomedical Research Institute @ VTC Neuromotor Research Clinic
- Chelsea M Frame, PA-C
- Audria France, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.