Active NPI
Bruce Bradley-Gilbert, LMHC, ATR
- Art Therapist
- Northampton, MA
National Provider Identifier
1427542166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 12301
- Practice address
- 35 State St
Northampton, MA 01060-3035 - Phone
- (413) 931-5811
- NPI assigned
- Jun 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3806 | MA | |
| Art Therapist | 221700000X | 12301 | Primary |
Addresses
Primary practice location
35 State St
Northampton, MA 01060-3035
Mailing address
172 Overlook Dr
Florence, MA 01062-3529
Phone (413) 320-7939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3806 | Other | MA | LICENSED MENTAL HEALTH COUNSELOR (LMHC) MA |
| 12301 | Other | AMERICAN ART THERAPY ASSOCIATION REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 13, 2024 through Nov 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529193600000",
"number": "1427542166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 OVERLOOK DR",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010623529",
"telephone_number": "413-320-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 STATE ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603035",
"telephone_number": "413-931-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY-GILBERT",
"first_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "LMHC, ATR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-17",
"last_updated": "2018-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "3806",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": "12301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR (LMHC) MA",
"identifier": "3806",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ART THERAPY ASSOCIATION REGISTRATION",
"identifier": "12301",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.