KATIE BRAVE
NPI 1215416870
Counselor - Professional in Columbia, SC

Active since August 13, 2018PECOS Enrolled
1228 HARDEN ST STE B, COLUMBIA, SC 29204(803) 748-7002(803) 252-5259 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Feb 6, 2026, Aug 13, 2018 (3 updates tracked since 2018).

About Katie Brave NPPES

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

KATIE BRAVE (NPI 1215416870) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (8450) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215416870
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE BRAVE
Location Address1228 HARDEN ST STE BColumbia, SC 29204-1800
Mailing Address108 Palmetto Park BlvdLexington, SC 29072-7968
Fax(803) 252-5259
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2018
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1215416870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 8450
1228 HARDEN ST STE B, Columbia, SC 29204

Secondary Practice Location 1

Location 1108 Palmetto Park BlvdLexington, SC 29072-7968 · Phone (803) 513-6508

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)

Katie Brave is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618458720
PECOS Enrollment IDI20260226002550
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 3

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

Nurse Practitioner
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Nurse Practitioner (Family)
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Clinic/Center (Federally Qualified Health Center (FQHC))
1228 HARDEN ST STE B
COLUMBIA, SC 29204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215416870, enumerated as an "individual" on August 13, 2018.

The provider is located at 1228 HARDEN ST STE B COLUMBIA, SC 29204 and the phone number is (803) 748-7002.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.