ANGELIA PINCKARD BRADLEY MED LPC MHSP NPI 1982708665

NPI Information

NPI: 1982708665
Provider Name: ANGELIA PINCKARD BRADLEY, MED LPC MHSP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
210 JOE HALE DR
JOHNSON CITY, TN
ZIP 37615
Phone: (423) 677-7824
Get Directions

Angelia Pinckard Bradley, MED LPC MHSP is a professional counselor in Johnson City, TN. Angelia Pinckard Bradley, MED LPC MHSP NPI is 1982708665. 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:

210 JOE HALE DR
JOHNSON CITY, TN
ZIP 37615-866
Phone: (423) 677-7824

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPCMHSP2004	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	620582605	OTHER	CORPHEALTH
2	620582605	OTHER	THREE RIVERS PROVI GROUP
3	620582605	OTHER	CARITEN PHP HMO
4	620582605	OTHER	CARITEN PHP WORKCO
5	620582605	OTHER	INITIAL GROUP GROUP
6	4120940	OTHER	MAGELLAN SUMMIT
7	620582605	OTHER	TRICARE SOUTH
8	334969	OTHER	VALUEOPTIONS GROUP
9	010277582	OTHER	VIRGINIA MEDICAID CTC
10	4120940	OTHER	MAGELLAN NAVIGATOR
11	9427660	OTHER	PHCS
12	620582605	OTHER	CARITEN SENIOR PPO
13	620582605	OTHER	CARITEN PHP PPO
14	620582605	OTHER	CARITEN PHP POS
15	620582605	OTHER	CARITEN PPO LEASE
16	4120940	OTHER	MAGELLAN PINNACLE
17	620582605	OTHER	CARITEN SENIOR HMO

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: 4/28/2024

NPI Synchronization or Removal

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