Bradley Counseling & Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRADLEY COUNSELING & CONSULTING, LLC

Practice address

17900 Dixie Hwy Ste 5
Homewood, IL 60430-3039

Phone

(708) 289-2317

Fax

(708) 289-2317

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Bradley, LCPC, CRADCNPI 1295383115

Title

Ceo

Phone

(708) 289-2317

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Bradley Sr., MA, LCPC, CRADC

  • Mental Health Counselor
  • Homewood, IL
  • NPI 1295383115
  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1932757721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HWY STE 5",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303039",
            "telephone_number": "708-289-2317",
            "fax_number": "708-289-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HWY STE 5",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303039",
            "telephone_number": "708-289-2317",
            "fax_number": "708-289-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-289-2317",
        "authorized_official_credential": "LCPC, CRADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Bosley, PA
• Roshaun Bowens
• Georgia Boxer, LPC, NCC
• Cindy L Boyer, D.N.
• Porscha Nikole Bradford, LSW
• Peter Bradley Sr., MA, LCPC, CRADC
• Brady Enterprises, Inc (Home Med Care)
• Candice Brattstrom Barrera, OT
• Tenisha Capri Brewer, LCSW
• Julia M Bridges, LCPC

• Community/Behavioral Health Agency in Homewood, IL
• Providers in Homewood, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.