Andrew Bradley – Mental Health Counselor in Ames, IA

Key facts

NPI: 1134581887
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 091725 (IA)
Practice address: 809 Wheeler St Ste 108
Ames, IA 50010-4472
Phone: (515) 996-6778
Fax: (515) 450-5038
NPI assigned: Mar 22, 2016
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Next Counseling of Iowa Community/Behavioral Health Agency · Ames, IA · NPI 1023975182

NPD Authorized official
Youth and Shelter Services, Inc. Counselor · Ames, IA · NPI 1841357894

NPD (past) MENTAL HEALTH

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
091725	IA	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Next Counseling of Iowa		Current since Jul 31, 2023	Accepting new patients
Youth and Shelter Services, Inc.	Mental Health	Past	Accepting new patients

Locations

809 Wheeler St
Ste 108
Ames, IA 50010
Phone (515) 996-6778

Interoperability endpoints

FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	091725	IA	Yes

Addresses

Primary practice location

809 Wheeler St Ste 108
Ames, IA 50010-4472

Mailing address

809 Wheeler St Ste 108
Ames, IA 50010-4472
Phone (515) 996-6778

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2023.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1134581887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WHEELER ST STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104472",
            "telephone_number": "515-996-6778",
            "fax_number": "515-450-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WHEELER ST STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104472",
            "telephone_number": "515-996-6778",
            "fax_number": "515-450-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

All providers in Ames, IA · Mental Health Counselor in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.