Bradleigh E Thomassian, MA, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5600 Issued in TN

Practice address

6400 Lee Hwy Ste 106
Chattanooga, TN 37421-2452

Phone

(423) 855-0402

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Summit Counseling Center, LLC

  • Professional Counselor
  • Chattanooga, TN
  • NPI 1578951026
  NPD
• Summit Counseling Center

  dba Ridgedale Baptist Church

  • Counselor
  • Chattanooga, TN
  • NPI 1225227887
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1700559655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 LAWFORD WAY APT 204",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634462",
            "telephone_number": "423-368-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-855-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSIAN",
        "first_name": "BRADLEIGH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brooke Thomas, FNP-C
• Tracy A'Lisa Thomas, CRNA
• Victor Thomas
• Wendell Bruce Thomas, D.O.
• Madison Thomason, MS, CGC
• Ethan Kristian Thomasson
• Thompson and Lett Eye Care, PLLC
• Aaron Guthrie Thompson, O.D.
• Andrew David Thompson, DPT
• Angela Dawne Thompson, NP

• Professional Counselor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.