Colette Roylyn Cross Bradley, SCHOOL COUNSELOR PPS

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

24007750 Issued in CA

Practice address

609 S Gold St
Yreka, CA 96097-3110

Phone

(530) 331-9706

Fax

(530) 842-8436

NPI assigned

Feb 17, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Superintendent of Schools

  • Local Education Agency (LEA)
  • Yreka, CA
  • NPI 1205953171
  NPD (past)

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1750186573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GOLD ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973110",
            "telephone_number": "530-331-9706",
            "fax_number": "530-842-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S GOLD ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973110",
            "telephone_number": "530-331-9706",
            "fax_number": "530-842-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS BRADLEY",
        "first_name": "COLETTE",
        "middle_name": "ROYLYN",
        "credential": "SCHOOL COUNSELOR PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "24007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Cox
• Craig W. Calhoun, MD, Prof. Corp.
• Crane Mountain LLC
• Elisabeth Cravens, L.C.S.W.
• Bruce Byron Crawford, MFT
• John Paul Crovelle, BEHAVIORAL HEALTH SP
• Brit Lee Crownover
• Lori Sheree Crum, PHARM.D.
• Leeann Michele Culbertson, CM II
• Kathryn R. Cullison, MA, MFT

• School Counselor in Yreka, CA
• Providers in Yreka, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.