Misty Melissa Brady-Lee, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701009284 Issued in VA

Practice address

4736 Grand Masters Way
Woodbridge, VA 22192

Phone

(979) 574-9568

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Mind Perception Therapy

  • Professional Counselor
  • Woodbridge, VA
  • NPI 1649886151
  NPD Authorized official

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1992234298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 GRAND MASTERS WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "979-574-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 GRAND MASTERS WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "979-574-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY-LEE",
        "first_name": "MISTY",
        "middle_name": "MELISSA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701009284",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00366100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn R Boyer, OTR/L
• Patrice M Boykin, MSPT
• Susan Elizabeth Boylan, MD
• Mary Jean Bozzelli, CFNP
• Rebekah Bradcovich
• Julie Erin Branch, LCSW-S
• Lindsey Jane Brand, OTD, OTR/L
• Anna Brandle
• Jason Dennis Brandt, D.D.S.
• Jennifer G Braun, M.S. CCC-SLP

• Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.