Organization Active NPI

Barbara a Bradshaw, LCPC, LLC

  • Community/Behavioral Health Agency
  • Cockeysville, MD
National Provider Identifier
1477324911
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BARBARA A BRADSHAW, LCPC, LLC
Practice address
111 Warren Rd Ste 10a
Cockeysville, MD 21030-2452
Phone
(443) 860-1252
NPI assigned
Jan 12, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Barbara Ann Bradshaw, LCPCNPI 1558928622
Title
Provider
Phone
(443) 860-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

111 Warren Rd Ste 10a
Cockeysville, MD 21030-2452

Mailing address

111 Warren Rd Ste 10a
Cockeysville, MD 21030-2452
Phone (443) 860-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118001170 MD Part B Supplier - Clinic/Group Practice 1153773841 Receives reassigned benefits from 1 practitioner
Practice locations: Cockeysville, MD

National Provider Directory

National Provider Directory

Locations

111 Warren Rd
Ste 10A
Cockeysville, MD 21030
Phone (410) 449-1136

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1477324911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARREN RD STE 10A",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302452",
            "telephone_number": "443-860-1252",
            "fax_number": "410-891-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN RD STE 10A",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302452",
            "telephone_number": "443-860-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A BRADSHAW, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-860-1252",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.