Joanne Maria Bragg, PRC 416 LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

416 Issued in DC

Practice address

2307 Martin Luther King Jr Ave SE
Washington, DC 20020-5813

Phone

(202) 595-9736

Fax

(202) 525-4860

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anacostia Center for Psychotherapy & Counseling, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1063646347
  NPD Authorized official
• Inner City Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1447556600
  NPD (past)
• Inner City Family Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, DC
  • NPI 1639419054
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1922570571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205813",
            "telephone_number": "202-595-9736",
            "fax_number": "202-525-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205813",
            "telephone_number": "202-595-9736",
            "fax_number": "202-525-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JOANNE",
        "middle_name": "MARIA",
        "credential": "PRC 416  LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela K Brady, DDS
• Shannon Louise Brady, PT
• Stacie Brady, MS, CCC-SLP
• Kristine Abigael Bragado, APRN
• Jennifer Folden Bragaw, FNP-BC
• Kevin Anthony Bragg
• Taylor Winston Bragg, FNP
• Shruti Jayeshbhai Brahmbhatt, PHARMD
• Memunatu Braima, LGSW
• Faosat Bolatito Braimoh

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.