Christina Hayes-Bradham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5543 Issued in SC

Practice address

104 Broadmarsh CT
North Charleston, SC 29418-3054

Phone

(843) 696-1967

Fax

(843) 552-3613

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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

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.

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  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1740684281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BROADMARSH CT",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183054",
            "telephone_number": "843-696-1967",
            "fax_number": "843-552-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROADMARSH CT",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183054",
            "telephone_number": "843-696-1967",
            "fax_number": "843-552-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES-BRADHAM",
        "first_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn N Hast, DPT, PT
• Jessica Marie Hatfield, PA
• Hatties Legacy
• Morgan Havrilesko
• Jessica Malori Hay, RN, BSN
• Brenna Hayes, RN
• Emily Anna Haynes, PA-C
• Monique Haynes, LPC
• Geralah Hazel, LPN
• Callan Lee Hazelbaker, M.A., BCBA

• Professional Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.