Emilie Adele Bradley

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1325 Jamison Ave SE
Roanoke, VA 24013-2015

Phone

(833) 952-0829

NPI assigned

Nov 22, 2022

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Emilie Bradley LPC Atr PLLC

  • Professional Counselor
  • Roanoke, VA
  • NPI 1740963842
  NPD (past)
• Empowered Well-Being Counseling, LLC

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1518520527
  NPD (past)
• Paradigm Shift Counseling

  • Professional Counselor
  • Roanoke, VA
  • NPI 1689228611
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1093424673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 POSTAL DR.",
            "address_2": "PO BOX 21154",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240189998",
            "telephone_number": "540-494-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 JAMISON AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132015",
            "telephone_number": "833-952-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Cypress Park Dr",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240188402",
            "country_code": "US",
            "telephone_number": "540-772-1872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "EMILIE",
        "middle_name": "ADELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Brackenrich, FNP
• Wayne Lee Brackenrich, D.O.
• Vicki W Brackett, M.S.,CCC-SLP
• Laura Swatzyna Bradford
• Bradley Free Clinic of Roanoke Valley
• Jeannene Evelyn Bradley, DDS
• Jessica Bradley
• Patrick D Bradley, MD
• Vakisha Bradley
• Don I Brady, MD

• Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.