Kelley D Bradshaw

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

895 Blue Hill Ave
Dorchester, MA 02124-2902

Phone

(617) 506-8188

NPI assigned

Sep 17, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1063383354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARKER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242902",
            "telephone_number": "617-506-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "KELLEY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowdoin Street Health Center
• Bowdoin Street Health Center
• Vanessa C Bowen Newton, LMHC 5478
• Myles Bowen, M.A.
• Ivy Lynn Brackup, MD
• Michelle Marie Brady, R.N
• Edward Branson, NP
• Emilia C Brasil
• Lindsay Coffey Braun, O.D.
• Josh Bray

• Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.