Active NPI
Bradley Kochunas, PCC-S
- Professional Counselor
- Middletown, OH
National Provider Identifier
1225469919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E2212
- Practice address
- 1131 Manchester Ave
Middletown, OH 45042-1925 - Phone
- (513) 422-7016
- Fax
- (513) 422-5682
- NPI assigned
- Dec 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E2212 | OH | Primary |
Addresses
Primary practice location
1131 Manchester Ave
Middletown, OH 45042-1925
Mailing address
1490 University Blvd
Hamilton, OH 45011-3305
Phone (513) 881-7189
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
| License | State | Type | Specialty |
|---|---|---|---|
| E2212 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1225469919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 UNIVERSITY BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113305",
"telephone_number": "513-881-7189",
"fax_number": "513-881-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 MANCHESTER AVE",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450421925",
"telephone_number": "513-422-7016",
"fax_number": "513-422-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHUNAS",
"first_name": "BRADLEY",
"credential": "PCC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-05",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E2212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.