Individual provider Active NPI

Barbara Ann Bradshaw, LCPC, LPC

  • Professional Counselor
  • Cockeysville, MD
National Provider Identifier
1558928622
Registry record updated Sep 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8746 Issued in MD
Practice address
111 Warren Rd Ste 10a
Cockeysville, MD 21030-2452
Phone
(443) 860-1252
NPI assigned
May 23, 2019
Last updated
Sep 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0011264 DE
Professional Counselor 101YP2500X 014586 PA
Professional Counselor 101YP2500X LC8746 MD 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

Other identifiers 1

IdentifierTypeStateIssuer
9585OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118001278 MD Practitioner - Mental Health Counselor 0042662736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0011264DEMDProfessional Counselor
014586PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara a Bradshaw, LCPC, LLC CurrentSince Jan 1, 2024 Accepting new patients
Paragon Health LLC CurrentSince Oct 8, 2023 Accepting new patients
Core Counseling Services Co PastSince Jul 1, 2017 Accepting new patients
Core Clinical Services PastSince Feb 21, 2024 Accepting new patients

Locations

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1558928622",
    "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"
        },
        {
            "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": {
        "last_name": "BRADSHAW",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "0011264",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "014586",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9585",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

Verify at the official NPI Registry.