Individual provider Active NPI

Meredith H Braden-Macmullan, LCPC, NCC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1447735972
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10837 Issued in MD
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

Updated by the provider on Mar 27, 2024

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 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

IdentifierTypeStateIssuer
367255700MedicaidMD

Other names 1

  • Meredith Braden Former name

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

LicenseStateTypeSpecialty
LC10837MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Jan 3, 2024 Accepting new patients
Meredith Braden-Macmullan Professional CurrentSince Mar 31, 2024 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.

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.

Verify at the official NPI Registry.