Individual provider Active NPI

Brady Ryan Bach, PLMHP, PLADC

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1871355685
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13718 Issued in NE
Practice address
2912 Bar Harbor Dr
Bellevue, NE 68123-2772
Phone
(402) 619-0760
NPI assigned
Jan 26, 2024
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13718 NE Primary

Addresses

Primary practice location

2912 Bar Harbor Dr
Bellevue, NE 68123-2772

Mailing address

2912 Bar Harbor Dr
Bellevue, NE 68123-2772
Phone (402) 619-0760

Other identifiers 1

IdentifierTypeStateIssuer
10029480600MedicaidNE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13718NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Integrations Counseling Services LLC Mental Health CurrentSince Feb 16, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1871355685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BAR HARBOR DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232772",
            "telephone_number": "402-619-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 BAR HARBOR DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232772",
            "telephone_number": "402-619-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "BRADY",
        "middle_name": "RYAN",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029480600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

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