Active NPI
Karen Louise Bradley, L.C.P.C.
- Professional Counselor
- Meridian, ID
National Provider Identifier
1659627735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC
- Practice address
- 5790 S Wayland Way
Meridian, ID 83642-4493 - Phone
- (208) 283-2481
- NPI assigned
- Jul 26, 2012
- 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 | LCPC | ID | Primary |
Addresses
Primary practice location
5790 S Wayland Way
Meridian, ID 83642-4493
Mailing address
12553 W Woodmurra CT
Boise, ID 83709-5085
Phone (208) 283-2481
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 |
|---|---|---|---|
| LCPC | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1659627735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12553 W WOODMURRA CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837095085",
"telephone_number": "208-283-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 S WAYLAND WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424493",
"telephone_number": "208-283-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KAREN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.