Karen Y Bradley-Anderson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

106 N Main St
New Carlisle, OH 45344-1835

Phone

(937) 667-1122

Fax

(419) 225-8878

NPI assigned

Dec 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healthcare Connection, Inc

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1053337675
  Medicare reassignment NPD
• The Healthcare Connection, Inc

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1154347789
  NPD
• The Healthcare Connection, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1578244687
  NPD
• Miami Valley Recovery, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1285152496
  NPD (past)
• Northwest Michigan Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manistee, MI
  • NPI 1326589961
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1659649309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E 8TH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042482",
            "telephone_number": "419-221-3072",
            "fax_number": "419-225-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441835",
            "telephone_number": "937-667-1122",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-ANDERSON",
        "first_name": "KAREN",
        "middle_name": "Y",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0023690",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredric A Blonstein, DDS
• BMNH, Inc.
• Born to Thrive Therapy, LLC
• Paula Renee Bowen
• Sierra Bowshier
• Michael Scott Britain, D.C.
• Robert Michael Browning, LICENSED OPTICIAN
• Coyote R Capasso, FNP
• Kelly Casad, PHARM.D.
• City of New Carlisle

• Professional Counselor in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.