NPIMap

Individual provider Active NPI

Braedyn Resh

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1851964191
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144
Phone
(443) 590-0030
Fax
(888) 316-2327
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144

Mailing address

1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144
Phone (443) 590-0030

Other identifiers 1

IdentifierTypeStateIssuer
LGP11654OtherMDLICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Ader O'Meally, LCSW-C, P.a. CurrentSince Jul 25, 2021 Accepting new patients

Locations

1812 Baltimore Blvd
Ste B
Westminster, MD 21157
Phone (410) 751-6176

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1851964191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-590-0030",
            "fax_number": "888-316-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-590-0030",
            "fax_number": "888-316-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESH",
        "first_name": "BRAEDYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LGP11654",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.