Jeanne C Brady, PSYD, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2400 Spenard Rd Ste 200
Anchorage, AK 99503-1644

Phone

(855) 573-4980

NPI assigned

Oct 25, 2018

Last updated

Jan 18, 2025By the provider in NPPES

Sex

Female

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

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Soul Sanctuary Healing and Wellness

  dba Jeanne Brady LLC

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1821677527
  Medicare reassignment NPD Authorized official
• Elpizo Mental Health Counseling Ministry Inc.

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1295355857
  Authorized official Same address or phone

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1326515669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061-C AURORA AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-444-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SPENARD RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031644",
            "telephone_number": "855-573-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 S Check St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548067",
            "country_code": "US",
            "telephone_number": "855-573-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Bragaw St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-433-7332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N Gould St Ste 9410",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828016317",
            "country_code": "US",
            "telephone_number": "855-573-4980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JEANNE",
        "middle_name": "C",
        "credential": "PSYD, MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisha Bradley
• Elijah Bradley
• Deandre' Antonio Bradshaw
• Deanna May Bradshaw, MS, CF-SLP
• Chester Upton Bradstreet, M.D.
• Patrick David Brady, MD
• Shane Gregory Brady, DPT
• John Stuart Bragg Jr., CHP
• Lucy Ann Bragg
• Gregory W Bragiel, DDS,PC

• Mental Health Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.