Active NPI
Rhonda Bradley, LPC
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1447653860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64010100005
- Practice address
- 20 S Quaker LN
Suite 210
Alexandria, VA 22314-4583 - Phone
- (517) 392-5536
- NPI assigned
- Sep 30, 2014
- Last updated
- Sep 30, 2014
- Sex
- Female
- 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 | 64010100005 | MI | Primary |
Addresses
Primary practice location
20 S Quaker LN
Suite 210
Alexandria, VA 22314-4583
Mailing address
20 S Quaker LN
Suite 210
Alexandria, VA 22314-4583
Phone (517) 392-5536
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 |
|---|---|---|---|
| 64010100005 | MI | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Albion, MI
- NPI 1598957656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1447653860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S QUAKER LN",
"address_2": "SUITE 210",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144583",
"telephone_number": "517-392-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S QUAKER LN",
"address_2": "SUITE 210",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144583",
"telephone_number": "517-392-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "RHONDA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "64010100005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.