Veronica Xena Rose Bradley

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

403 W State St Ste 206
Aberdeen, WA 98520-6140

Phone

(360) 589-9068

Fax

(360) 637-9132

NPI assigned

Jul 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1093864589
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1003597832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W STATE ST STE 206",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206140",
            "telephone_number": "360-589-9068",
            "fax_number": "360-637-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W STATE ST STE 206",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206140",
            "telephone_number": "360-589-9068",
            "fax_number": "360-637-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VERONICA",
        "middle_name": "XENA ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Boog, PA-C
• Kristin Marijean Boogaard, BS, MSW CANDIDATE
• Stephanie Leigh Boone, DPT
• Cheryl Ann Boyer I
• Robert E Boyle Jr., PHARMD
• Jiana Marie Brandt, MS
• Dana A. Brannon, ARNP
• Arielle N Brasel, LMP
• Carmen Cabailo Briones, MD
• Broadway Clinic Inc

• All providers in Aberdeen, WA
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.