Jessica Noelle Bradbury, IMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

26572 Issued in FL

Practice address

5449 S Semoran Blvd Ste 216C
Orlando, FL 32822-1745

Phone

(804) 292-4731

NPI assigned

Feb 13, 2025

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

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1871398974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 CHATHAM MANOR BLVD APT 24303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216703",
            "telephone_number": "804-873-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 216C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221745",
            "telephone_number": "804-292-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "JESSICA",
        "middle_name": "NOELLE",
        "credential": "IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "26572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres E Bracho Sr., GENERAL MANAGER
• Regan Brackin
• Alexis Brackins, OTD, OTR/L
• Caitlin Mei Bradbury, LMHC
• Jessica Bradbury
• Meredith Braddock, LCSW
• Kyra Braden
• Lavone Glema Bradfield, M.D.
• Angelique Bradley
• Emma Bradley, RN

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.