Active NPI
Carrie Bravinder, LPC
- Professional Counselor
- Stafford, VA
National Provider Identifier
1629162755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011497
- Practice address
- 12 Flatford Rd
Stafford, VA 22554-3949 - Phone
- (800) 305-2089
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 00162 | MN | |
| Mental Health Counselor | 101YM0800X | 14768 | NC | |
| Professional Counselor | 101YP2500X | MH 10728 | FL | |
| Professional Counselor | 101YP2500X | 4789 | OK | |
| Professional Counselor | 101YP2500X | 74487 | TX | |
| Professional Counselor | 101YP2500X | 0184121 | NM | |
| Professional Counselor | 101YP2500X | 0701011497 | VA | Primary |
Addresses
Primary practice location
12 Flatford Rd
Stafford, VA 22554-3949
Mailing address
24 White Chapel LN
Stafford, VA 22554-8593
Phone (321) 795-8596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 00162 | MN | MD | Mental Health Counselor |
| MH 10728 | FL | MD | Professional Counselor |
| 0184121 | NM | MD | Professional Counselor |
| 0701011497 | VA | MD | Professional Counselor |
| 74487 | TX | MD | Pharmacist |
| 4789 | OK | MD | Pediatric Critical Care Medicine Physician |
| 14768 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1629162755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WHITE CHAPEL LN",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548593",
"telephone_number": "321-795-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 FLATFORD RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225543949",
"telephone_number": "800-305-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVINDER",
"first_name": "CARRIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "LPC 00162",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14768",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 10728",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4789",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74487",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0184121",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.