KATHLEEN BRADLEY LPC NPI 1629735402

NPI Information

  • NPI: 1629735402
  • Provider Name: KATHLEEN BRADLEY, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 226 E MAIN ST
    GRISWOLD, CT
    ZIP 06351
  • Phone: (860) 376-7040

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NPI Details

Kathleen Bradley, LPC is a professional counselor in Griswold, CT with 4 years of experience. Kathleen Bradley, LPC NPI is 1629735402. 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:

226 E MAIN ST
GRISWOLD, CT
ZIP 06351-110
Phone: (860) 376-7040
Fax: (860) 376-7045

The NPI 1629735402 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 10/22/2024.

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
1101YP2500XCounselorProfessional5284CONNECTICUTNo
2101YP2500XCounselorProfessional7284CONNECTICUTYes

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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