Kelly A. Bradford - Parrella, SOCIAL WORKER

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

44SL05376300 Issued in NJ

Practice address

14 Hilltop Rd
Kinnelon, NJ 07405-2123

Phone

(646) 831-8408

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kelly A Bradford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Point of Hope Counseling, LLC

  • Mental Health Counselor
  • Kinnelon, NJ
  • NPI 1790581346
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1124870167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HILLTOP RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052123",
            "telephone_number": "646-831-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HILLTOP RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052123",
            "telephone_number": "646-831-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD - PARRELLA",
        "first_name": "KELLY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": "1037062",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL05376300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BRADFORD",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "SOCIAL WORKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernard John Beute, M.D.
• Nidhi A Bhalodia
• Fran Bihary, DMD
• Gage Blanck-Singer, LPC LCADC
• Susan Boyle, APN
• Broadway Group Home LLC
• Broadway Respite and Home Care
• Brooksnp LLC
• Peter Brusco, D.M.D.
• Lauren M Butera, M.S., CCC-SLP

• All providers in Kinnelon, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.