Individual provider Active NPI

Brandon Swaggart, LPCC

  • Professional Counselor
  • Murray, KY
National Provider Identifier
1447615489
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCPCC00223169 Issued in KY
Practice address
1712 State Route 121 Byp N Ste I
Murray, KY 42071-8925
Phone
(270) 761-5804
Fax
(270) 761-5807
NPI assigned
Dec 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCPCC00223169 KY Primary

Addresses

Primary practice location

1712 State Route 121 Byp N Ste I
Murray, KY 42071-8925

Mailing address

1712 State Route 121 Byp N Ste I
Murray, KY 42071-8925
Phone (270) 761-5804

Other identifiers 1

IdentifierTypeStateIssuer
LPCPCC00223169OtherKYPROFESSIONAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250620000321 KY Practitioner - Mental Health Counselor 2668984261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCPCC00223169KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Family Center, LLC Professional PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1447615489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STATE ROUTE 121 BYP N STE I",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718925",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 STATE ROUTE 121 BYP N STE I",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718925",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAGGART",
        "first_name": "BRANDON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "LPCPCC00223169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NUMBER",
            "identifier": "LPCPCC00223169",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.