Active NPI
Brad Bernstein, LCPC
- Professional Counselor
- Columbia, MD
National Provider Identifier
1831587096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5369
- Practice address
- 5560 Sterrett PL Ste 201
Columbia, MD 21044-2627 - Phone
- (443) 546-4000
- NPI assigned
- Dec 22, 2014
- Sex
- Male
- Sole proprietor
- No
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 | LC5369 | MD | Primary |
Addresses
Primary practice location
5560 Sterrett PL Ste 201
Columbia, MD 21044-2627
Mailing address
10593 Twin Rivers Rd
Columbia, MD 21044-2122
Phone (443) 742-9867
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 |
|---|---|---|---|
| LC5369 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1831587096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10593 TWIN RIVERS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442122",
"telephone_number": "443-742-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 STERRETT PL STE 201",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442627",
"telephone_number": "443-546-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "BRAD",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.