Myra Binns Bridgforth, LPC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717000531 Issued in VA

Practice address

513 Maple Ave W Ste 2
Second Floor
Vienna, VA 22180-4229

Phone

(703) 281-4703

NPI assigned

May 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477764041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 MAPLE AVE W STE 2",
            "address_2": "SECOND FLOOR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804229",
            "telephone_number": "703-281-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MAPLE AVE W STE 2",
            "address_2": "SECOND FLOOR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804229",
            "telephone_number": "703-281-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGFORTH",
        "first_name": "MYRA",
        "middle_name": "BINNS",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Brammer
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• Ryan Breedlove
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• Brighterstrides ABA
• Markia Broadnax
• Linda Moore Bronfin, CFNP
• Maya Wolf Bronipolsky
• Andrea Leigh Brooks, D.P.T

• Marriage & Family Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Marriage & Family Therapist in Virginia

• 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.

Verify at the official NPI Registry.