Individual provider Active NPI

Elisabeth Brawley, MA, LPC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1750819827
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2014007638 Issued in MO
Practice address
140 Prospect Ave Ste K
Saint Louis, MO 63122-6024
Phone
(314) 467-0540
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2014007638 MO Primary

Addresses

Primary practice location

140 Prospect Ave Ste K
Saint Louis, MO 63122-6024

Mailing address

10552 Hackberry Dr Apt 6
Saint Louis, MO 63128-1349
Phone (314) 262-2995

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2014007638MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1750819827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 HACKBERRY DR APT 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281349",
            "telephone_number": "314-262-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE STE K",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226024",
            "telephone_number": "314-467-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWLEY",
        "first_name": "ELISABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2014007638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.