Active NPI
Patricia Corella Brackin, TLPC
- Professional Counselor
- Junction City, KS
National Provider Identifier
1669751665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2282
- Practice address
- 838 S Washington St Ste a
Junction City, KS 66441-3826 - Phone
- (785) 226-0696
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2282 | KS | Primary |
Addresses
Primary practice location
838 S Washington St Ste a
Junction City, KS 66441-3826
Mailing address
2121 Brooke BND
Junction City, KS 66441-1415
Phone (785) 226-0696
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1669751665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 BROOKE BND",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411415",
"telephone_number": "785-226-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 S WASHINGTON ST STE A",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664413826",
"telephone_number": "785-226-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKIN",
"first_name": "PATRICIA",
"middle_name": "CORELLA",
"name_prefix": "Mrs.",
"credential": "TLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.