Individual provider Active NPI

Emily D Brayton, LPC-A

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1295476141
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88287 Issued in TX
Practice address
2602 McKinney Ave Ste 105
Dallas, TX 75204-0710
Phone
(214) 444-3649
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88287 TX Primary

Addresses

Primary practice location

2602 McKinney Ave Ste 105
Dallas, TX 75204-0710

Mailing address

4444 Cole Ave Apt 312
Dallas, TX 75205-4368
Phone (214) 458-2580

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.brightspacetherapy.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 24, 2025 through Feb 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88287TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1295476141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 COLE AVE APT 312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054368",
            "telephone_number": "214-458-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 MCKINNEY AVE STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040710",
            "telephone_number": "214-444-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYTON",
        "first_name": "EMILY",
        "middle_name": "D",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brightspacetherapy.com/",
            "affiliation": "N",
            "address_1": "2602 McKinney Ave Ste 105",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752040710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.