Active NPI
Meredith H Braden-Macmullan, LCPC, NCC
- Professional Counselor
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC10837
- Practice address
- 810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291 - Phone
- (443) 906-3506
- Fax
- (443) 782-2342
- NPI assigned
- Oct 1, 2018
- 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 | LC10837 | MD | Primary |
Addresses
Primary practice location
810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291
Mailing address
104 Cathedral St
Annapolis, MD 21401-2704
Phone (410) 507-5474
Other practice location 1
104 Cathedral St
Annapolis, MD 21401-2704
Phone (410) 507-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367255700 | Medicaid | MD |
Other names 1
- Meredith Braden
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC10837 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Mental Health Professionals LLC | Current | Accepting new patients | |
| Meredith Braden-Macmullan | Professional | Current | Accepting new patients |
Locations
810 Bestgate Rd
Ste 325
Annapolis, MD 21401
Phone (443) 906-3500
104 Cathedral St
Annapolis, MD 21401
Phone (410) 507-5474
1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184
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.
-
- Professional Counselor
- Annapolis, MD
- NPI 1063263374
-
- Clinical Psychologist
- Annapolis, MD
- NPI 1649906496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1447735972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CATHEDRAL ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012704",
"telephone_number": "410-507-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 BESTGATE RD STE 325",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014291",
"telephone_number": "443-906-3506",
"fax_number": "443-782-2342"
}
],
"practiceLocations": [
{
"address_1": "104 Cathedral St",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214012704",
"country_code": "US",
"telephone_number": "410-507-5474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADEN-MACMULLAN",
"first_name": "MEREDITH",
"middle_name": "H",
"credential": "LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC10837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367255700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "BRADEN",
"credential": "LCPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.