Mary C Bradley, LCDC, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9398 Issued in TX

Practice address

1934 Caroline St
Houston, TX 77002-8210

Phone

(713) 286-6000

Fax

(713) 286-6093

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare for the Homeless-HoustonGroup PAC ID 4385614882, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Healthcare for the Homeless-Houston

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1720305493
  Medicare reassignment Care Compare group NPD
• Healthcare for the Homeless-Houston

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1497018261
  NPD
• Healthcare for the Homeless-Houston

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1932791597
  NPD
• Baylor College of Medicine

  • Neurological Surgery Physician
  • Houston, TX
  • NPI 1730132721
  NPD (past)
• Healthcare for Homeless Houston

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1386775807
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346521903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "713-286-6000",
            "fax_number": "713-286-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "713-286-6000",
            "fax_number": "713-286-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "LCDC, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "2927",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "001122",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Alyssa Bradley, D.C.
• Latisha Bradley
• Lauren M Bradley, LCSW
• Madison Shea Bradley, MA, LPC
• Mary Bradley
• Nathan Chris Bradley, LMSW
• Nori Bradley, MD
• Rachael Bradley, BCBA
• Raven Bradley, D.C.
• Rhonda Marie Bradley, DDS

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.