Individual provider Active NPI

Erin Bradrick, MA.,LMHC

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1376969014
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60129963 Issued in WA
Practice address
6712 Kimball Dr
#103
Gig Harbor, WA 98335-1212
Phone
(253) 858-2224
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60129963 WA Primary

Addresses

Primary practice location

6712 Kimball Dr
#103
Gig Harbor, WA 98335-1212

Mailing address

12323 NE 97TH St
Apt a
Kirkland, WA 98033-5869
Phone (253) 682-7725

Other identifiers 1

IdentifierTypeStateIssuer
LH 60129963OtherWAMENTAL HEALTH COUNSELOR LICENSE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH 60129963WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1376969014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 NE 97TH ST",
            "address_2": "APT A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335869",
            "telephone_number": "253-682-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "#103",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-858-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADRICK",
        "first_name": "ERIN",
        "credential": "MA.,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60129963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "LH 60129963",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.