Active NPI
Bradley Scott Thornton, LPC-MHSP
- Mental Health Counselor
- Cookeville, TN
National Provider Identifier
1932746856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4690
- Practice address
- 1330 Neal St Ste D
Cookeville, TN 38501-4307 - Phone
- (931) 528-6803
- Fax
- (931) 528-6826
- NPI assigned
- Dec 10, 2019
- Last updated
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4690 | TN | |
| Mental Health Counselor | 101YM0800X | 4690 | TN | Primary |
Addresses
Primary practice location
1330 Neal St Ste D
Cookeville, TN 38501-4307
Mailing address
2101 Magnolia Ave S Ste 518
Birmingham, AL 35205-2853
Phone (205) 244-8134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4690 | Other | TN | STATE OF TENNESSEE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4690 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction & Mental Health Services, LLC | Past | 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.
-
dba Bradford Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Cookeville, TN
- NPI 1578611943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1932746856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 MAGNOLIA AVE S STE 518",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052853",
"telephone_number": "205-244-8134",
"fax_number": "205-251-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 NEAL ST STE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014307",
"telephone_number": "931-528-6803",
"fax_number": "931-528-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "4690",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE",
"identifier": "4690",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.