Bradly Hale, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900047 Issued in OH

Practice address

2828 Vernon PL
Cincinnati, OH 45219-2414

Phone

(513) 281-7880

Fax

(513) 281-7884

NPI assigned

Sep 19, 2014

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resurge Recovery, LLCGroup PAC ID 4789089152, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
• FHIR API: https://api.qualifacts.org/api/fhir/alcoholismcouncil/r4/

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.

• Resurge Recovery, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cincinnati, OH
  • NPI 1548843360
  Medicare reassignment Care Compare group NPD
• Addiction Services Council

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1952337248
  NPD
• Modern Psychiatry & Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Hamilton, OH
  • NPI 1699251553
  NPD
• Resurge Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1023726460
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1740682863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 VERNON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192414",
            "telephone_number": "513-281-7880",
            "fax_number": "513-281-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 VERNON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192414",
            "telephone_number": "513-281-7880",
            "fax_number": "513-281-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113329",
            "country_code": "US",
            "telephone_number": "513-281-7880",
            "fax_number": "513-281-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "BRADLY",
        "name_prefix": "Mr.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Hakel
• Mason Hakes, M.S., CCC-SLP
• Parfait Hakizimana
• Rashayla Marie Halbert Bryant
• Janay Halbert
• Bridgette Marie Hale, RN
• Juan Hale
• Katrina Hale, LPN
• Matthew A Hale, LIMFT
• Mitchell James Hale

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.