Marie R Brauch, MA LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC002937 Issued in PA

Practice address

697 State St
#5
Beaver, PA 15009

Phone

(724) 622-4719

NPI assigned

Jul 18, 2008

Last updated

Jul 18, 2008By 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

Other identifiers 1

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1700040730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 VALLEY AVE",
            "address_2": "#35",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150663454",
            "telephone_number": "724-622-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 STATE ST",
            "address_2": "#5",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-622-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUCH",
        "first_name": "MARIE",
        "middle_name": "R",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC002937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF W PA",
            "identifier": "001448341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Beaver, PA
• Providers in Beaver, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.