Individual provider Active NPI

Matthew Garrett Bram, LPCS, LCAS, MAC

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1912955071
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7469 Issued in NC
Practice address
20 Wind Stone Dr
Asheville, NC 28804-8806
Phone
(828) 696-6850
Fax
(888) 876-4026
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1906 NC
Professional Counselor 101YP2500X S7469 NC
Professional Counselor 101YP2500X 7469 NC Primary

Addresses

Primary practice location

20 Wind Stone Dr
Asheville, NC 28804-8806

Mailing address

20 Wind Stone Dr
Asheville, NC 28804-8806
Phone (828) 696-6850

Other identifiers 1

IdentifierTypeStateIssuer
S7469OtherNCNORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS NCBLPC

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
S7469NCMDProfessional Counselor
7469NCMDGeneral Practice Dentistry
1906NCMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1912955071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WIND STONE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288048806",
            "telephone_number": "828-696-6850",
            "fax_number": "888-876-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WIND STONE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288048806",
            "telephone_number": "828-696-6850",
            "fax_number": "888-876-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAM",
        "first_name": "MATTHEW",
        "middle_name": "GARRETT",
        "name_prefix": "Mr.",
        "credential": "LPCS, LCAS, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1906",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S7469",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS NCBLPC",
            "identifier": "S7469",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.