Active NPI
Brave, LLC
Doing business as Brave Counseling and Psychiatry
- Professional Counselor
- Columbia, MO
National Provider Identifier
1750939864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Hocker, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Ashland, MO
- NPI 1760939011
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.