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JACQUELINE BRADY
NPI 1366097800
Marriage & Family Therapist in Mishawaka, IN

Active since August 01, 2019PECOS Enrolled
620 S IRONWOOD DR STE A, MISHAWAKA, IN 46544(800) 509-6884 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, May 21, 2026, Aug 1, 2019 (3 updates tracked since 2019).

About Jacqueline Brady NPPES

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

JACQUELINE BRADY (NPI 1366097800) is an individual marriage & family therapist in Mishawaka, Indiana, licensed in Indiana (35002567A) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366097800
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE BRADY
Location Address620 S IRONWOOD DR STE AMishawaka, IN 46544-1539
Mailing Address620 S Ironwood Dr Ste AMishawaka, IN 46544-1539 · (219) 346-3633
Phone(800) 509-6884
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2019
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1366097800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IN · 35002567A
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
620 S IRONWOOD DR STE A, Mishawaka, IN 46544
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Other Names 1

Former Name (1)Jacqueline Ahearne

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2668931643
PECOS Enrollment IDI20260829000575
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Brady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uplift Behavioral Health PC
515 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Brady's NPI number?

The NPI number for Jacqueline Brady is 1366097800. It was assigned to this individual provider in the NPPES registry on August 1, 2019. The provider is also known as Jacqueline Ahearne.

Where is Jacqueline Brady located?

Jacqueline Brady practices at 620 S Ironwood Dr Ste A, Mishawaka, IN 46544. The listed phone number is (800) 509-6884.

What is Jacqueline Brady's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Brady enrolled in Medicare?

Yes. Jacqueline Brady is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Brady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Brady reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Brady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Brady accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Jacqueline Brady 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 Jacqueline Brady was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.