Individual provider Active NPI

Alicia Barbara Braman

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1740631936
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61063054 Issued in WA
Practice address
2600 SW Holden St
Seattle, WA 98126-3505
Phone
(206) 933-7160
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61063054 WA Primary
Nutrition Education Nutritionist 133NN1002X 60684412 WA

Addresses

Primary practice location

2600 SW Holden St
Seattle, WA 98126-3505

Mailing address

PO Box 47334
Seattle, WA 98146-7334
Phone (360) 209-3381

Other practice location 1

5426 California Ave SW
Seattle, WA 98136-1513
Phone (360) 209-3381

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
61063054WAMDMental Health Counselor
60684412WAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishing Compassion Therapy PLLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

5426 California Ave SW
Seattle, WA 98136
Phone (206) 324-5616

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1740631936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47334",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981467334",
            "telephone_number": "360-209-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW HOLDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263505",
            "telephone_number": "206-933-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5426 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361513",
            "country_code": "US",
            "telephone_number": "360-209-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMAN",
        "first_name": "ALICIA",
        "middle_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61063054",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "60684412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.