Active NPI
Lauren Bradley, LPC, CD(DONA)
- Counselor
- Longview, TX
National Provider Identifier
1619451911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 70966
- Practice address
- 212 Crescent Dr
Longview, TX 75602-1516 - Phone
- (903) 738-3257
- NPI assigned
- Sep 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 70966 | TX | Primary |
| Doula | 374J00000X | 12408 | TX |
Addresses
Primary practice location
212 Crescent Dr
Longview, TX 75602-1516
Mailing address
212 Crescent Dr
Longview, TX 75602-1516
Phone (903) 738-3257
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 |
|---|---|---|---|
| 70966 | TX | MD | Counselor |
| 12408 | TX | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1619451911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CRESCENT DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756021516",
"telephone_number": "903-738-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CRESCENT DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756021516",
"telephone_number": "903-738-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "LPC, CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "70966",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "TX",
"license": "12408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.