Active NPI
Freia I Hooper-Bradford, LPC
- Mental Health Counselor
- Wetmore, CO
National Provider Identifier
1841348935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1478
- Practice address
- 395 Crestview Dr
Wetmore, CO 81253-0025 - Phone
- (719) 784-3838
- Fax
- (719) 784-3838
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1478 | CO | Primary |
Addresses
Primary practice location
395 Crestview Dr
Wetmore, CO 81253-0025
Mailing address
PO Box 25
Wetmore, CO 81253-0025
Phone (719) 784-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076813 | Medicaid | CO |
Other names 1
- Freia Bradford
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 |
|---|---|---|---|
| 1478 | CO | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1841348935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "WETMORE",
"state": "CO",
"postal_code": "812530025",
"telephone_number": "719-784-3838",
"fax_number": "719-784-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 CRESTVIEW DR",
"city": "WETMORE",
"state": "CO",
"postal_code": "812530025",
"telephone_number": "719-784-3838",
"fax_number": "719-784-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER-BRADFORD",
"first_name": "FREIA",
"middle_name": "I",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "1478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076813",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FREIA",
"last_name": "BRADFORD",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wetmore, CO
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.