Active NPI
Marsha Bradford, LPC
- Professional Counselor
- Lufkin, TX
National Provider Identifier
1962947549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7095
- Practice address
- 805 Sandyland Dr
Lufkin, TX 75904-5700 - Phone
- (936) 414-2565
- Fax
- (936) 622-6810
- NPI assigned
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7095 | TX | Primary |
Addresses
Primary practice location
805 Sandyland Dr
Lufkin, TX 75904-5700
Mailing address
911 E Lufkin Ave
Lufkin, TX 75901-0435
Phone (936) 699-1030
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 |
|---|---|---|---|
| 7095 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Counseling Services, PLLC | Professional | 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 and National Provider Directory roles.
-
- Professional Counselor
- Lufkin, TX
- NPI 1679990725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1962947549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E LUFKIN AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759010435",
"telephone_number": "936-699-1030",
"fax_number": "936-622-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SANDYLAND DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045700",
"telephone_number": "936-414-2565",
"fax_number": "936-622-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "MARSHA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "7095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.