Individual provider Active NPI

Angela Tollison Brady, LPC

  • Counselor
  • Greenville, SC
National Provider Identifier
1720150048
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4357 Issued in SC
Practice address
413 Vardry Street
#7
Greenville, SC 29601
Phone
(864) 467-1319
Fax
(864) 467-0241
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4357 SC Primary

Addresses

Primary practice location

413 Vardry Street
#7
Greenville, SC 29601

Mailing address

413 Vardry Street
#7
Greenville, SC 29601
Phone (864) 467-1319

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

State licenses

LicenseStateTypeSpecialty
4357SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addcare Counseling, Inc. Counselor CurrentSince Jul 10, 2022 Accepting new patients

Locations

413 Vardry St
Ste 7
Greenville, SC 29601
Phone (864) 467-1319

721 Lowndes Hill Rd
Ste C
Greenville, SC 29607
Phone (864) 467-1319

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1720150048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 VARDRY STREET",
            "address_2": "#7",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-467-1319",
            "fax_number": "864-467-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 VARDRY STREET",
            "address_2": "#7",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-467-1319",
            "fax_number": "864-467-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ANGELA",
        "middle_name": "TOLLISON",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.