Individual provider Active NPI

Emily Nicole Bradford, PLPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1699346304
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021024673 Issued in MO
Practice address
8350 N Saint Clair Ave Ste 275
Kansas City, MO 64151-5114
Phone
(913) 257-3161
Fax
(888) 956-8977
NPI assigned
Jul 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2021024673 MO Primary

Addresses

Primary practice location

8350 N Saint Clair Ave Ste 275
Kansas City, MO 64151-5114

Mailing address

12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410
Phone (913) 257-3161

Other practice location 1

225 SW Noel St
Lees Summit, MO 64063-2241
Phone (913) 257-3161 ext. 24

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
2021024673MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embark Counseling Services, LLC Professional CurrentSince Jul 17, 2021 Accepting new patients

Locations

12351 W 96th Ter
Ste 105
Lenexa, KS 66215
Phone (913) 257-3161

8350 N Saint Clair Ave
Ste 275
Kansas City, MO 64151
Phone (913) 257-3161

225 SW Noel St
Lees Summit, MO 64063
Phone (913) 257-3161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1699346304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154410",
            "telephone_number": "913-257-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N SAINT CLAIR AVE STE 275",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641515114",
            "telephone_number": "913-257-3161",
            "fax_number": "888-956-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 SW Noel St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640632241",
            "country_code": "US",
            "telephone_number": "913-257-3161 x24",
            "fax_number": "888-956-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021024673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.