Susan E Brady, BA, REGISTERED PSYCH

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NLC0109492 Issued in CO

Practice address

4740 Flintridge Dr Ste 220L
Colorado Springs, CO 80918-4273

Phone

(719) 433-4607

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 2019By 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

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wholehearted Counseling LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1215589361
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1649823204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 FONTMORE RD APT D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041616",
            "telephone_number": "719-433-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 220L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184273",
            "telephone_number": "719-433-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "BA, REGISTERED PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC0109492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Brady IV, M.D.
• Julie M Brady, MD
• Lisa Lynn Brady, LPC, LAC, NCC
• Megan Anna Brady, MD
• Nathanael Steven Brady, D.O.
• Kathleeen Braga
• Kama Nicole Bragg, PT, DPT
• Kandis R Bragg
• Tina Bragg, D.C.
• Nupur Brahmbhatt, M.D.

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.