Active NPI
Brenda Brace-Carter, LPC
- Professional Counselor
- McComb, MS
National Provider Identifier
1376576322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1059
- Practice address
- 1701 White St
McComb, MS 39648-2711 - Phone
- (601) 684-2173
- Fax
- (601) 249-4234
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1059 | MS | Primary |
Addresses
Primary practice location
1701 White St
McComb, MS 39648-2711
Mailing address
PO Box 804
Magnolia, MS 39652-0761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376576322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "MAGNOLIA",
"state": "MS",
"postal_code": "396520761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 WHITE ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482711",
"telephone_number": "601-684-2173",
"fax_number": "601-249-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACE-CARTER",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.