Active NPI
Jennifer M Bradt, MS, LPC, NCC
- Professional Counselor
- Frisco, TX
National Provider Identifier
1487895876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15609
- Practice address
- 6136 Frisco Square Blvd
Suite 400
Frisco, TX 75034-3246 - Phone
- (469) 287-5502
- NPI assigned
- Mar 13, 2009
- 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 | 15609 | TX | Primary |
Addresses
Primary practice location
6136 Frisco Square Blvd
Suite 400
Frisco, TX 75034-3246
Mailing address
6136 Frisco Square Blvd
Suite 400
Frisco, TX 75034-3246
Phone (469) 287-5502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 11, 2024 through Mar 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15609 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1487895876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6136 FRISCO SQUARE BLVD",
"address_2": "SUITE 400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343246",
"telephone_number": "469-287-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6136 FRISCO SQUARE BLVD",
"address_2": "SUITE 400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343246",
"telephone_number": "469-287-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADT",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
- Crystal Renee Bradley, PHARM.D.
- Pamela Janice Bradley, LPC
- Shalako Mongosanta Bradley Jr.
- Temesa Bradley, LPC
- Shannon Marie Bradshaw
- Brady Dental Gruop of Texas PLLC (Star Sleep & Wellness)
- Brady Medical Group of Texas PLLC (Star Sleep & Wellness)
- Brady Medical Group PLLC
- Brady Medical Group PLLC
- Marissa Brady
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.