Active NPI
Angela Tollison Brady, LPC
- Counselor
- Greenville, SC
National Provider Identifier
1720150048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4357
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4357 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addcare Counseling, Inc. | Counselor | Current | 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.
-
- Counselor
- Greenville, SC
- NPI 1285761650
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.