Organization Active NPI

Vanessa Bradden, LMFT, P.C.

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1881014496
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
166000731 Issued in IL
Legal business name
VANESSA BRADDEN, LMFT, P.C.
Practice address
3166 N Lincoln Ave
Suite 400
Chicago, IL 60657-3133
Phone
(773) 998-1220
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Ms. Vanessa R Bradden, LMFT
Title
Marriage and Family Therapist
Phone
(773) 998-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 166000731 IL Primary

Addresses

Primary practice location

3166 N Lincoln Ave
Suite 400
Chicago, IL 60657-3133

Mailing address

3166 N Lincoln Ave
Suite 400
Chicago, IL 60657-3133
Phone (773) 998-1220

National Provider Directory

National Provider Directory

Locations

3166 N Lincoln Ave
Ste 400
Chicago, IL 60657
Phone (773) 998-1220

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1881014496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "773-998-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "773-998-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA BRADDEN, LMFT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BRADDEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "773-998-1220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "166000731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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

Verify at the official NPI Registry.