John Bray
Individual provider Active NPI Mental Health Counselor · Hanover, PA
NPI 1891031373 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1891031373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 625 W Elm Ave
Hanover, PA 17331-5125 - Phone
- (717) 632-4900
- NPI assigned
- Jan 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
625 W Elm Ave
Hanover, PA 17331-5125
Mailing address
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
NPI Registry JSON
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1891031373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
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All providers in Hanover, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.