Kristy Lynn Bradford

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15549 Issued in CA

Practice address

32605 Temecula Pkwy Ste 207
Temecula, CA 92592-6839

Phone

(949) 945-4675

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1841056967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "949-945-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "15549",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "15549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bowers, LPCC
• Kelly Elizabeth Boyatt, M.D.
• Jazmine Bracamontes
• Melissa Ann Brace, RN
• Haley Bradford, BCAT
• Adrianna Kristen Brady
• Jodessa Braga, NBC-HWC
• Marisa Ann Braicovich, MSN, FNP
• Shirley Eunice Branca Villa
• Branch Medical Clinic Temecula

• Professional Counselor in Temecula, CA
• Providers in Temecula, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.