Meghan Erin Bradley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E1116845 Issued in CA

Practice address

401 E Cypress Ave
Lompoc, CA 93436-6806

Phone

(805) 835-5998

NPI assigned

Jul 18, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1780107185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 W GUAVA AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365629",
            "telephone_number": "805-835-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-835-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MEGHAN",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "E1116845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "VXB593M83713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Bonner, BSW
• Angela Boruff
• Tonya Leeann Bosch, BSN RN PHN
• Cyreeta Bourne
• David Earl Bowin, O.D.
• Paige Bradshaw-Terry
• Marissa Yvonne Brady
• Ashley Renee Branson
• Michelle Briones
• Olesya Brissey, M.D.

• Mental Health Counselor in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.