Active NPI
Christopher Kenneth Bradt, LPC, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1619460672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010893
- Practice address
- 245 5TH Ave FL 3
New York, NY 10016-8728 - Phone
- (917) 261-4414
- Fax
- (917) 261-4420
- NPI assigned
- Jun 13, 2018
- Last updated
- Sep 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6854 | SC | |
| Professional Counselor | 101YP2500X | 010893 | NY | |
| Mental Health Counselor | 101YM0800X | 010893 | NY | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
New York, NY 10016-8728
Mailing address
101 Greenwich St Ste 403
New York, NY 10006-1895
Phone (917) 261-4414
Other practice location 1
17 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 283-0637
Other practice location 2
244 5th Ave Ste 2586
New York, NY 10001-7604
Phone (347) 991-4946
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 |
|---|---|---|---|
| 6854 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1619460672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREENWICH ST STE 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061895",
"telephone_number": "917-261-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "917-261-4414",
"fax_number": "917-261-4420"
}
],
"practiceLocations": [
{
"address_1": "17 Memorial Medical Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054407",
"country_code": "US",
"telephone_number": "864-283-0637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "244 5th Ave Ste 2586",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100017604",
"country_code": "US",
"telephone_number": "347-991-4946",
"fax_number": "917-725-8914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADT",
"first_name": "CHRISTOPHER",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "LPC, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "6854",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "010893",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "010893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.