Individual provider Active NPI

Whitney Bradley, LMFT

  • Marriage & Family Therapist
  • Pflugerville, TX
National Provider Identifier
1124734579
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204000 Issued in TX
Practice address
2911 A W Grimes Blvd Ste 330
Pflugerville, TX 78660-1979
Phone
(512) 883-7112
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 204000 TX
Marriage & Family Therapist 106H00000X 204000 TX Primary

Addresses

Primary practice location

2911 A W Grimes Blvd Ste 330
Pflugerville, TX 78660-1979

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

2631 Gattis School Rd Ste 220
Round Rock, TX 78664-2822
Phone (512) 601-0535

Other practice location 2

913 Gray Fox Loop
Hutto, TX 78634-5840
Phone (804) 243-0929

Other practice location 3

1101 Satellite Vw Unit 501
Round Rock, TX 78665-1591
Phone (512) 601-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204000TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1124734579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 330",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601979",
            "telephone_number": "512-883-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2631 Gattis School Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786642822",
            "country_code": "US",
            "telephone_number": "512-601-0535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 Gray Fox Loop",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786345840",
            "country_code": "US",
            "telephone_number": "804-243-0929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Satellite Vw Unit 501",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651591",
            "country_code": "US",
            "telephone_number": "512-601-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "WHITNEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "204000",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.