Elizabeth McGinty Bradley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005367 Issued in GA

Practice address

3455 Lawrenceville Suwanee Rd Ste a
Suwanee, GA 30024-6425

Phone

(678) 622-7154

NPI assigned

Feb 6, 2007

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

• Ms. Elizabeth Anne McGinty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Gwinnett Counseling Associates, LLC

  • Mental Health Counselor
  • Suwanee, GA
  • NPI 1629314349
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1992844617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SECRET COVE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185300",
            "telephone_number": "678-622-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "678-622-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ELIZABETH",
        "middle_name": "MCGINTY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LPC2551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MCGINTY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Allen Bowns, DMD
• Darrell Stephen Box, NBC-HWC
• Jessica Ann Boyle
• Jessica Marie Boynton, OTR/L
• Bonnie Bradberry, RBT
• Anna Macgregor Bramwell, M.D.
• Michelle Brantley, RPH.
• Vickie Kay Braun, OTR/L
• Breathe Beauty la
• Riana Brevitt, RBT

• Professional Counselor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.