Active NPI
Sarah Elizabeth Bradberry, LAC
- Counselor
- North Little Rock, AR
National Provider Identifier
1245842764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A19011008
- Practice address
- 513 Main St
North Little Rock, AR 72114-5329 - Phone
- (501) 777-5969
- NPI assigned
- Aug 17, 2020
- Last updated
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A19011008 | AR | Primary |
| Professional Counselor | 101YP2500X | P2012129 | NU |
Addresses
Primary practice location
513 Main St
North Little Rock, AR 72114-5329
Mailing address
104 S Maple St
Little Rock, AR 72205-5609
Phone (501) 749-8169
Other practice location 1
2402 Wildwood Ave Ste 115
Sherwood, AR 72120-6014
Phone (501) 983-2199
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 |
|---|---|---|---|
| A19011008 | AR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCoy Counseling LLC | Counselor | Current | Accepting new patients |
| Mental Wellness Connection | Professional | Current | Accepting new patients |
| Momentum Therapeutic Services | Professional | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Sherwood, AR
- NPI 1215664099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1245842764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S MAPLE ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055609",
"telephone_number": "501-749-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MAIN ST",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721145329",
"telephone_number": "501-777-5969"
}
],
"practiceLocations": [
{
"address_1": "2402 Wildwood Ave Ste 115",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "AR",
"postal_code": "721206014",
"country_code": "US",
"telephone_number": "501-983-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADBERRY",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A19011008",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": "P2012129",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.