Active NPI
Bradley Unruh, MFT, LPC, LMFTA
- Marriage & Family Therapist
- Columbus, OH
National Provider Identifier
1265053268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- M.1800064
- Practice address
- 1290 Old Henderson Rd
Columbus, OH 43220-3608 - Phone
- (330) 807-6420
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1801061 | OH | |
| Marriage & Family Therapist | 106H00000X | 85000346A | IN | |
| Marriage & Family Therapist | 106H00000X | M.1800064 | OH | Primary |
Addresses
Primary practice location
1290 Old Henderson Rd
Columbus, OH 43220-3608
Mailing address
1290 Old Henderson Rd
Columbus, OH 43220-3608
Phone (330) 807-6420
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bradunruhcounseling@gmail.com | Direct |
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 |
|---|---|---|---|
| C.1801061 | OH | MD | Professional Counselor |
| 85000346A | IN | MD | Marriage & Family Therapist |
| M.1800064 | OH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1265053268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 OLD HENDERSON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203608",
"telephone_number": "330-807-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 OLD HENDERSON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203608",
"telephone_number": "330-807-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "BRADLEY",
"credential": "MFT, LPC, LMFTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1801061",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000346A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "M.1800064",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bradunruhcounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "1290 Old Henderson Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432203608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.