Madison Brantley, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

495 Prosperity Lake Dr # 101
St Augustine, FL 32092-5045

Phone

(904) 294-7721

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: madison@foundationspediatrics.com

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1457079121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SAINT JOHNS GOLF DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 PROSPERITY LAKE DR # 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925045",
            "telephone_number": "904-294-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "MADISON",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madison@foundationspediatrics.com",
            "affiliation": "N",
            "address_1": "495 Prosperity Lake Dr # 101",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320925045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dareon Bradwell
• Kaylan Brady, M.D.
• Michael Keith Brady, PHARM.D.
• Traci L Bragg, M.D.
• Kristina Marie Brandon, DPT
• Bravery NE FL LLC
• Britnee Breeden
• Christina Brennan, M.D.
• Teresa Marie Brennan, D.O.
• Brett Cutler DPM PA

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.