Jane Brajkovich, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009933 Issued in VA

Practice address

125 S Cameron St
Winchester, VA 22601-4732

Phone

(681) 231-3161

NPI assigned

Oct 5, 2020

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 28, 2025 through Apr 28, 2027

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Art Centered Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hanover, PA
  • NPI 1013650241
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1326645201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014732",
            "telephone_number": "681-231-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014732",
            "telephone_number": "681-231-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAJKOVICH",
        "first_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhiannon Bradford
• Joy A Bradshaw, OT
• Brain & Body Health Center
• Brain and Body Regenerative Medicine
• Holly Braithwaite, CSFA
• Caroline Brand, OT
• Shonnet R Brand
• Brandon Coleman, DDS, PLLC
• Dorthe Sophie Brandt, MD
• Jackelyn R Brannon, RN

• All providers in Winchester, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.