Provider Type Icon

JESSICA LAUREN BRADWAY LPC ATR LMT NPI 1922572262


NPI Information

NPI: 1922572262
Provider Name: JESSICA LAUREN BRADWAY, LPC, ATR, LMT
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2230 S KINNICKINNIC AVE
MILWAUKEE, WI
ZIP 53207
Phone: (414) 758-4643
Get Directions

Jessica Lauren Bradway, LPC, ATR, LMT is a counselor in Milwaukee, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jessica Lauren Bradway, LPC, ATR, LMT NPI is 1922572262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2230 S KINNICKINNIC AVE
MILWAUKEE, WI
ZIP 53207-330
Phone: (414) 758-4643

The enumeration date for this NPI number is 1/21/2019 and was last updated on 1/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor6563-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.