Active NPI
Bradford D Lombardi, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1770638629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2003027608
- Practice address
- 5368 W Josh St
Springfield, MO 65802-5922 - Phone
- (417) 894-0103
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2003027608 | MO | Primary |
Addresses
Primary practice location
5368 W Josh St
Springfield, MO 65802-5922
Mailing address
5368 W Josh St
Springfield, MO 65802-5922
Phone (417) 894-0103
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003027608 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770638629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5368 W JOSH ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658025922",
"telephone_number": "417-894-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5368 W JOSH ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658025922",
"telephone_number": "417-894-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDI",
"first_name": "BRADFORD",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2003027608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.