Individual provider Active NPI

Andrew Bradley

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1134581887
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
091725 Issued in 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
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 091725 IA Primary

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

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
091725IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Counseling of Iowa CurrentSince 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/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.