Mary Tiernan Brough, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701001827 Issued in VA

Practice address

11333 Sunset Hills Rd
Reston, VA 20190-5205

Phone

(703) 742-8540

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mary.brough.p1@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: mary.brough.p3@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356438071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-742-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-742-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGH",
        "first_name": "MARY",
        "middle_name": "TIERNAN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701001827",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCO182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "088958",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Brezinsky
• Jeanie Bridwell
• Sandra Deal Briggs, P.T.
• Claudia Andrea Bright
• Michael Dean Britt, LPC
• Carl Theodore Brown, MD
• Ian Campbell Brown, PA-C
• Jason R Brown, D.C.
• Judith Rose Brown, M. ED
• Kathryn Egan Brown, JD/MSW

• Mental Health Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.