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

Q: 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.

Q: What is Jacqueline Brady's specialty?

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

Q: 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 2 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.

Active since August 01, 2019

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: August 02, 2026.

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

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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.

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

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

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.

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 2 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.