Organization Active NPI

Brave, LLC

Doing business as Brave Counseling and Psychiatry

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1750939864
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRAVE, LLC
Doing business as
Brave Counseling and Psychiatry
Practice address
2100 Forum Blvd Ste C-2
Columbia, MO 65203-5436
Phone
(573) 862-6992
NPI assigned
Sep 1, 2019
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Mrs. Elizabeth Hocker, LPCNPI 1760939011
Title
Owner
Phone
(573) 823-6992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Psychiatry Physician 2084P0800X NU
Physician Assistant 363A00000X NU

Addresses

Primary practice location

2100 Forum Blvd Ste C-2
Columbia, MO 65203-5436

Mailing address

203 Johnson CT
Ashland, MO 65010-9473
Phone (573) 862-6992

Other names 1

  • Brave Counseling and Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1750939864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 JOHNSON CT",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109473",
            "telephone_number": "573-862-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FORUM BLVD STE C-2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035436",
            "telephone_number": "573-862-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "HOCKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-823-6992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brave Counseling and Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brave Counseling and Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.