Individual provider Active NPI

Jacquelyn Lee Bray, D.MIN, LPC

  • Mental Health Counselor
  • Brevard, NC
National Provider Identifier
1851364616
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3521 Issued in NC
Practice address
952 Middle Connestee Trail
Brevard, NC 28712
Phone
(828) 883-3662
Fax
(828) 883-3662
NPI assigned
Feb 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 3521 NC Primary
Professional Counselor 101YP2500X 3521 NC

Addresses

Primary practice location

952 Middle Connestee Trail
Brevard, NC 28712

Mailing address

952 Middle Connestee Trail
Brevard, NC 28712
Phone (828) 883-3662

Other identifiers 3

IdentifierTypeStateIssuer
NBCC # 00169OtherNATIONALCERTIFICATION
6102163MedicaidNC
NCLIC # 3521OtherNCLPC

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
3521NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851364616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 MIDDLE CONNESTEE TRAIL",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "28712",
            "telephone_number": "828-883-3662",
            "fax_number": "828-883-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 MIDDLE CONNESTEE TRAIL",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "28712",
            "telephone_number": "828-883-3662",
            "fax_number": "828-883-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JACQUELYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.MIN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3521",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONALCERTIFICATION",
            "identifier": "NBCC # 00169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102163",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "NCLIC # 3521",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.