Jesse Braff, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC020527 Issued in PA

Practice address

430 Belgrade St FL 1
Philadelphia, PA 19125-2621

Phone

(267) 764-1997

NPI assigned

Apr 9, 2025

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Personal Evolution LLC

  dba Fishtown Wellness Center

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1598260630
  NPD (past)

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1316732613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 8TH ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075103",
            "telephone_number": "215-266-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BELGRADE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252621",
            "telephone_number": "267-764-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 S 8th St Apt 3R",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075103",
            "country_code": "US",
            "telephone_number": "215-266-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAFF",
        "first_name": "JESSE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC020527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Brady, MD
• Mary Lee Brady, D.C.
• Sarah Brady
• Therese D Brady, CRNA
• William M Brady, MD
• Michael N Braffman, MD
• Raffaella Braga, PHD
• Asya Braginsky, PA-C
• Avis Braham
• Roy E Brahen, DDS

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.