MR. BRADLEY ROBERT KUSICK MA LPC NPI 1376767491

NPI Information

  • NPI: 1376767491
  • Provider Name: MR. BRADLEY ROBERT KUSICK, MA LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 710 BURBANK ST STE C
    BROOMFIELD, CO
    ZIP 80020
  • Phone: (303) 907-3475

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NPI Details

MR. Bradley Robert Kusick, MA LPC is a professional counselor in Broomfield, CO. MR. Bradley Robert Kusick, MA LPC NPI is 1376767491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

710 BURBANK ST STE C
BROOMFIELD, CO
ZIP 80020-658
Phone: (303) 907-3475

The enumeration date for this NPI number is 4/12/2007 and was last updated on 1/7/2009.

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
1101YP2500XCounselorProfessional585COLORADOYes

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 State Other Provider Identifier Issuer
186602560MEDICAIDCOLORADO

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: 3/30/2025

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