Active NPI
Monique Braggs
- Professional Counselor
- Dallas, TX
National Provider Identifier
1982148680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011100
- Practice address
- 539 W Commerce St # 907
Dallas, TX 75208-1953 - Phone
- (817) 533-8741
- Fax
- (817) 945-9252
- NPI assigned
- Dec 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC011100 | GA | |
| Mental Health Counselor | 101YM0800X | 73342 | TX | |
| Professional Counselor | 101YP2500X | 73342 | TX | |
| Professional Counselor | 101YP2500X | LPC011100 | GA | Primary |
Addresses
Primary practice location
539 W Commerce St # 907
Dallas, TX 75208-1953
Mailing address
539 W. Commerce St #907
Dallas, TX 75208-1953
Phone (817) 533-8741
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011100 | GA | MD | Mental Health Counselor |
| 73342 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monique K. Braggs | Mental Health | Current | Accepting new patients |
| Monique K. Braggs | Mental Health | Current | Accepting new patients |
Locations
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
Organizations & group practices 2
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": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1982148680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W. COMMERCE ST #907",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953",
"telephone_number": "817-533-8741",
"fax_number": "817-945-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST # 907",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953",
"telephone_number": "817-533-8741",
"fax_number": "817-945-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGGS",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011100",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73342",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73342",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.