Active NPI
Michelle Leigh Braun, LPC
- Professional Counselor
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012766
- Practice address
- 2560 W 12TH St
Erie, PA 16505-4508 - Phone
- (814) 835-2957
- NPI assigned
- Jan 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | PC012766 | PA | Primary |
Addresses
Primary practice location
2560 W 12TH St
Erie, PA 16505-4508
Mailing address
3119 Cascade St
Erie, PA 16508-1513
Phone (814) 881-1364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SafeHarbor@UPMCdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012766 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wright Center Medical Group | Current | Accepting new patients | |
| The Wright Center Medical Group | Current | Accepting new patients |
Locations
260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150
103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545
1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980
5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019
1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280
501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058
200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253
312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567
329 Cherry St
Scranton, PA 18505
Phone (570) 348-6100
1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335
169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147
Interoperability endpoints
- michelleb@thewrightcenter.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1194739979
-
dba The Wright Center For Community Health
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1649836941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1821687138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 CASCADE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081513",
"telephone_number": "814-881-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054508",
"telephone_number": "814-835-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "MICHELLE",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012766",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SafeHarbor@UPMCdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2560 W 12th St",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165054508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.