ANDREA BRAGDON M.S.
NPI 1053820050
Counselor - Mental Health in Jacksonville, FL

Active since September 22, 2017PECOS Enrolled
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2024, Sep 22, 2017 (2 updates tracked since 2017).

About Andrea Bragdon M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BRAGDON M.S. (NPI 1053820050) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH18130) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053820050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA BRAGDONCredential: M.S.
Location Address4651 SALISBURY RD STE 400Jacksonville, FL 32256-6187
Mailing Address555 Moultrie Landing Blvd Apt 6106St Augustine, FL 32086-5984 · (207) 844-0503
Fax(929) 596-7897
Sole ProprietorYes
Enumeration DateSeptember 22, 2017
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1053820050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH18130
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC6599 (ME)
4651 SALISBURY RD STE 400, Jacksonville, FL 32256

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Bragdon M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Massage Therapist
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bragdon's NPI number?

The NPI number for Andrea Bragdon is 1053820050. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Andrea Bragdon located?

Andrea Bragdon practices at 4651 Salisbury Rd Ste 400, Jacksonville, FL 32256. The listed phone number is (646) 941-7645.

What is Andrea Bragdon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Bragdon enrolled in Medicare?

Yes. Andrea Bragdon is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Bragdon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Andrea Bragdon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Bragdon was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.