Active NPI
James Henry Bradley, CDP
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
National Provider Identifier
1376975557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60344318
- Practice address
- 841 Central Ave N
C-215
Kent, WA 98032-2016 - Phone
- (253) 867-5344
- Fax
- (253) 479-6508
- NPI assigned
- Jul 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60344318 | WA | Primary |
Addresses
Primary practice location
841 Central Ave N
C-215
Kent, WA 98032-2016
Mailing address
1800 112TH Ave NE
Suite 150W
Bellevue, WA 98004-2993
Phone (425) 646-7279
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 |
|---|---|---|---|
| CP60344318 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Behavioral Health Care Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
- NPI 1790007896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1376975557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 112TH AVE NE",
"address_2": "SUITE 150W",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042993",
"telephone_number": "425-646-7279",
"fax_number": "425-671-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 CENTRAL AVE N",
"address_2": "C-215",
"city": "KENT",
"state": "WA",
"postal_code": "980322016",
"telephone_number": "253-867-5344",
"fax_number": "253-479-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JAMES",
"middle_name": "HENRY",
"credential": "CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60344318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.