Grethel I Bradford, ED.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4071 Issued in MD

Practice address

7600 Flower Ave
Takoma Park, MD 20912-7744

Phone

(301) 326-7066

NPI assigned

Jul 16, 2013

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lartey Wellness Group LLCGroup PAC ID 1355735911, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Lartey Wellness Group LLC

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1942761838

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1902247190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FLOWER AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127744",
            "telephone_number": "301-326-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FLOWER AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127744",
            "telephone_number": "301-326-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "GRETHEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Kipre Bouabre
• Mohamed Boukadoum, M.D.
• Joseph Bouno
• Marie Dienane Boursiquot, NP
• Cassandra Boyd, CRNA
• Kathleen Claire Breuninger, MSN, MPH, CPNP-PC
• Lum Aweh Bridget, MRS.
• Bright Path Creative, LLC
• Bright Star Family Clinic Inc
• Andres Castano Brito Jr., DC

• Professional Counselor in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.