Active NPI
Kayce Kozma Bragg, MA, LPC, LAC
- Professional Counselor
- Prosperity, SC
National Provider Identifier
1992027189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6055
- Practice address
- 8378 Macedonia Church Rd
Prosperity, SC 29127-6305 - Phone
- (803) 883-0913
- NPI assigned
- Feb 16, 2010
- Last updated
- May 5, 2025
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60978395 | WA | |
| Mental Health Counselor | 101YM0800X | 015820 | NY | |
| Mental Health Counselor | 101YM0800X | 19757 | NC | |
| Mental Health Counselor | 101YM0800X | 68.0136133 | VT | |
| Professional Counselor | 101YP2500X | LPC011039 | GA | |
| Professional Counselor | 101YP2500X | 2710 | KS | |
| Professional Counselor | 101YP2500X | 6055 | SC | Primary |
| Professional Counselor | 101YP2500X | C7930 | OR | |
| Professional Counselor | 101YP2500X | 4242 | MN | |
| Professional Counselor | 101YP2500X | 180015815 | IL |
Addresses
Primary practice location
8378 Macedonia Church Rd
Prosperity, SC 29127-6305
Mailing address
8378 Macedonia Church Rd
Prosperity, SC 29127-6305
Phone (803) 883-0913
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
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2710 | KS | MD | Mental Health Counselor |
| 015820 | NY | MD | Mental Health Counselor |
| 68.0136133 | VT | MD | Mental Health Counselor |
| LH60978395 | WA | MD | Mental Health Counselor |
| LPC011039 | GA | MD | Professional Counselor |
| 180015815 | IL | MD | Professional Counselor |
| 4242 | MN | MD | Professional Counselor |
| C7930 | OR | MD | Professional Counselor |
| 6055 | SC | MD | Professional Counselor |
| 19757 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- kaycebragg@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1992027189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8378 MACEDONIA CHURCH RD",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "291276305",
"telephone_number": "803-883-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8378 MACEDONIA CHURCH RD",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "291276305",
"telephone_number": "803-883-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "KAYCE",
"middle_name": "KOZMA",
"name_prefix": "Mrs.",
"credential": "MA, LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60978395",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015820",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "19757",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "68.0136133",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011039",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2710",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6055",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7930",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4242",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180015815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosperity, SC
- Paula Anderson, RN
- Valerie Anderson, RN
- John Andrew Bearden
- Jaime Bedenbaugh, LPN
- Brooke Kali Bolin, SLP
- Brannon Family Chiropractic LLC (Family Practice of Chiropractic Prosperity)
- Carolina Kids Early Intervention LLC
- Angela Boland Carraway, MCD, CCC-SLP
- Melissa Sue Carter
- Anthony Frank Chibbaro, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.