Active NPI
Bradley Owen Ward, MA/LPCC
- Professional Counselor
- Springfield, OH
National Provider Identifier
1437664455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E2203235
- Practice address
- 2242 Olympic St
Springfield, OH 45503-2737 - Phone
- (937) 390-7773
- Fax
- (937) 390-8765
- NPI assigned
- Dec 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E2203235 | OH | Primary |
Addresses
Primary practice location
2242 Olympic St
Springfield, OH 45503-2737
Mailing address
2242 Olympic St
Springfield, OH 45503-2737
Phone (937) 390-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2203235 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hensel O. Ward Jr. PH.D. | Current | Accepting new patients |
Locations
2242 Olympic St
Springfield, OH 45503
Phone (937) 390-7773
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Springfield, OH
- NPI 1063651404
-
- Clinical Psychologist
- Springfield, OH
- NPI 1093812190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1437664455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032737",
"telephone_number": "937-390-7773",
"fax_number": "937-390-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2242 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032737",
"telephone_number": "937-390-7773",
"fax_number": "937-390-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "BRADLEY",
"middle_name": "OWEN",
"name_prefix": "Mr.",
"credential": "MA/LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-13",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E2203235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.