Susan K Bragg, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003138 Issued in VA

Practice address

5409 Falmouth St
Richmond, VA 23230-2101

Phone

(804) 920-6397

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  NPD (past)
• Hanover County Board of Supervisors

  • Ambulance
  • Hanover, VA
  • NPI 1245275403
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1366543175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 FALMOUTH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302101",
            "telephone_number": "804-920-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 FALMOUTH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302101",
            "telephone_number": "804-920-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "383711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brady
• Lindsay Bragaw
• Emily Marie Bragg, SLP
• Madeline Bragg
• Patricia S Bragg, NP
• Braincare, LLC
• Brainwave Medical Equipment LLC
• Monica Faye Brakefield, NNP
• Aliyah Branch, LMT
• Briana Branch

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, 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 Nov 12, 2020; 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.