Emily Victoria Bray, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014982 Issued in PA

Practice address

882 Jacksonville Rd Ste 205
Ivyland, PA 18974-4807

Phone

(215) 355-2011

Fax

(215) 396-1886

NPI assigned

Nov 28, 2022

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

Practice roles

Locations

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

• Southampton Psychiatric Associates PC

  • Psychiatry Physician
  • Southampton, PA
  • NPI 1013926583
  NPD
• Therapy for Success

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1568860443
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1700596228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189172418",
            "telephone_number": "267-229-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 JACKSONVILLE RD STE 205",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189744807",
            "telephone_number": "215-355-2011",
            "fax_number": "215-396-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "PA",
            "postal_code": "189172418",
            "country_code": "US",
            "telephone_number": "267-229-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "EMILY",
        "middle_name": "VICTORIA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Alven, NP
• Anchor Home Health Care LLC
• Lawrence Paul Bressler, MD
• Mary Fitzpatrick Bressler, RN, CRNP
• Ayse Cici Gokaltun
• Sergio Costa, C.O.
• Jessica M Curlett, LPC

• Professional Counselor in Ivyland, PA
• Providers in Ivyland, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.