Jessica L Bradwell, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1310 W Main St Ste 100
Russellville, AR 72801-2803

Phone

(479) 964-2011

NPI assigned

Jun 15, 2022

Last updated

Jul 30, 2024By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Real Development Corporation

  dba RPI Behavioral Health

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265162978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N 55TH LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045840",
            "telephone_number": "850-693-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST STE 100",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012803",
            "telephone_number": "479-964-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWELL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbradwell@bradwellassociates.net",
            "affiliation": "N",
            "address_1": "2045 Main St # 163",
            "city": "Cypress",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324329401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Bowling, APRN
• Brenda Boyd
• Christina M. Bradford, P.T.
• Alyssa Leigh Bradley, OT
• Melissa Louise Bradley, LPC
• Kristina Bramlett, RECOVERY ASSISTANT
• Karen Michelle Branch, NP
• Mariya Branch
• Kelly Braton
• Meghan Kerin Bratton, MD

• Mental Health Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.