Brainspotting Therapy USA

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BRAINSPOTTING THERAPY USA

Practice address

4964 Greenland Hideaway Dr N
Jacksonville, FL 32258-1582

Phone

(904) 535-4551

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Andrea Miller, LCSWNPI 1659860492

Title

Owner

Phone

(904) 404-9861

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Leigh Miller, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1659860492
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1487309183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 GREENLAND HIDEAWAY DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581582",
            "telephone_number": "190-453-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 GREENLAND HIDEAWAY DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581582",
            "telephone_number": "904-535-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSPOTTING THERAPY USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-404-9861",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd M Bragg, MD
• Bhaumik Brahmbhatt, MBBS
• Pavan Manish Brahmbhatt, MBBS
• Sachin Brahmbhatt, DPM
• Tamara Brainard, D.O.
• Brainworks Therapy LLC
• Ellianne Bramlett
• Branch Medical Clinic Jacksonville
• Branch Medical Clinic Mayport
• Brandi Branch, RN

• All providers in Jacksonville, FL
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.