Nathan Paul Bray, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4267 Issued in LA

Practice address

4400 Tamarack St
Lake Charles, LA 70605-4427

Phone

(337) 515-6252

NPI assigned

Jan 14, 2013

Sex

Male

Sole proprietor

Yes

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.

• Boys and Girls Villages Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Lake Charles, LA
  • NPI 1578822177
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1972840767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 HIGHWAY 90 E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154803",
            "telephone_number": "337-436-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 TAMARACK ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054427",
            "telephone_number": "337-515-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason J. Braud, MD
• Don Alan Bravin, M.D.
• Ashley Nichole Braxton
• Patti Lynn Bray Ward, DC
• Nathan Herman Bray Jr., D.D.S.
• Charles J Brdlik, M.D.
• Breaux Internal Medicine and Pediatric Clinic
• Adrienne Lynn Breaux, M.D.
• Jason Paul Breaux, C.R.N.A.
• Lisa Breaux, FNP

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.