Jennifer Renee Bradley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2175 Issued in AL

Practice address

1401 Doug Baker Blvd
Ste 107 PMB 524
Birmingham, AL 35242-3975

Phone

(205) 880-4742

Fax

(205) 301-7356

NPI assigned

Sep 13, 2012

Last updated

Nov 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Baker Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jennifer Bradley Or Chrysalis Therapy

  dba Chrysalis Therapy

  • Professional Counselor
  • Hoover, AL
  • NPI 1568958817
  Authorized official Same address or phone
• Birmingham Anxiety and Trauma Therapy

  • Psychologist
  • Birmingham, AL
  • NPI 1669752754
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1912257395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DOUG BAKER BLVD",
            "address_2": "STE 107 PMB 524",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "352424975",
            "telephone_number": "205-880-4742",
            "fax_number": "205-301-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DOUG BAKER BLVD",
            "address_2": "STE 107 PMB 524",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423975",
            "telephone_number": "205-880-4742",
            "fax_number": "205-301-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16700 Highway 280 Ste A222",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "AL",
            "postal_code": "350438325",
            "country_code": "US",
            "telephone_number": "205-677-8134",
            "fax_number": "844-579-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2175",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PORTER",
            "middle_name": "BAKER",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Acenia Nichole Bradley, RN
• Andria Joy Bradley, LICSW
• Angie Bradley
• Candice Patrice Bradley
• Charles N Bradley, CRNA
• Laura Nugent Bradley, PA-C
• Nicol Michelle Bradley, BEHAVIOR TECHNICIAN
• Sarah Rose Bradley, MD
• Shelby Paige Bradley
• Amanda Jade Bradshaw, CPNP

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.