Individual provider Active NPI

Peggy Braam, MS, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1487960217
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3809-125 Issued in WI
Practice address
313 Price PL
Suite 209
Madison, WI 53705-3299
Phone
(608) 556-2388
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65348 TX
Professional Counselor 101YP2500X 3809-125 WI Primary
Professional Counselor 101YP2500X 178.001787 IL

Addresses

Primary practice location

313 Price PL
Suite 209
Madison, WI 53705-3299

Mailing address

313 Price PL
Suite 209
Madison, WI 53705-3299
Phone (608) 556-2388

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178.001787ILMDProfessional Counselor
3809-125WIMDProfessional Counselor
65348TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1487960217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRICE PL",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053299",
            "telephone_number": "608-556-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRICE PL",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053299",
            "telephone_number": "608-556-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAM",
        "first_name": "PEGGY",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65348",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3809-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.001787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.