Emily R Braccia, CT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APP-000581603 Issued in OH

Practice address

6700 Beta Dr Ste 108
Mayfield Village, OH 44143-2335

Phone

(440) 460-0140

Fax

(440) 460-5413

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Family Behavioral Health Care, LLC

  dba Family Behavioral Health Services, LLC

  • Mental Health Counselor
  • Mayfield Village, OH
  • NPI 1235288861
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1568108736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BETA DR STE 108",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432335",
            "telephone_number": "440-460-0140",
            "fax_number": "440-460-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BETA DR STE 108",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432335",
            "telephone_number": "440-460-0140",
            "fax_number": "440-460-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACCIA",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "APP-000581603",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "581603",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "APP-000581603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@fbhsllc.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6700 Beta Dr Ste 108",
            "city": "Mayfield Village",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441432335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.