Anne B Bradford, LPC, NCC, CAMS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC 005500 Issued in GA

Practice address

1000 Corporate Pointe Ste 112
Warner Robins, GA 31088-3439

Phone

(478) 254-0677

NPI assigned

Nov 18, 2015

Last updated

Sep 6, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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

• Hephzibah Childrens Home

  • Mental Health Counselor
  • Macon, GA
  • NPI 1083054514
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1194199885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310081329",
            "telephone_number": "478-254-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 112",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883439",
            "telephone_number": "478-254-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANNE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC, CAMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC 005500",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barton Bowers
• Jamie Wright Bowie
• Nicole Boyer
• Tanya Marie Boykin, PTA
• Molly Bozeman, RN BSN
• Leigh-Anne Janene Bradley
• Maya Victoria Bradley, M.ED., CCC-SLP
• Michael N. Brady, MD
• Lindy B. Bramblett, PA
• Rachael Katina Branch

• Mental Health Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.