Jaime Bradley, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

95969 Issued in TX

Practice address

102 E 3Rd St
Prosper, TX 75078-2949

Phone

(972) 292-0007

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1013746841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMMONS WAY",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781723",
            "telephone_number": "214-906-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 3RD ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782949",
            "telephone_number": "972-292-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JAIME",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "95969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanika Alake Bowen-Jallow, MD
• Jacquelyn Bowen
• Kristen Kaye Bowling
• Jalisa Laray Boyd, RN
• Bradford White, PHD, PLLC
• Kenyada Bradley
• Brain & Body Boost, LLC
• Calaiah Branch
• Madison Branch
• Breauna Braxton

• All providers in Prosper, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.