Individual provider Active NPI

Christopher Kenneth Bradt, LPC, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1619460672
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010893 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6854SCMDCounselor

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.

Verify at the official NPI Registry.