Joan M Brackmann, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000150928 Issued in MO

Practice address

3672 B Arsenal St.
St. Louis, MO 63116-4821

Phone

(314) 664-9766

Fax

(314) 246-9646

NPI assigned

Sep 27, 2007

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

Master of Arts

State licenses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1679760276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 B ARSENAL ST.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631164821",
            "telephone_number": "314-664-9766",
            "fax_number": "314-246-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 B ARSENAL ST.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631164821",
            "telephone_number": "314-664-9766",
            "fax_number": "314-246-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKMANN",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000150928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.