ELISA K BRADLEY
NPI 1003695776
Counselor - Professional in Lima, OH

Active since September 22, 2023
2963 BLUE JACKET CT, LIMA, OH 45806(567) 825-1192 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elisa K Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA K BRADLEY (NPI 1003695776) is an individual professional provider in Lima, Ohio, licensed in Ohio (C.2305414) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1003695776
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISA K BRADLEY
Location Address2963 BLUE JACKET CTLima, OH 45806-1464
Mailing Address2030 W Elm StLima, OH 45805-2654 · (419) 234-2134
Sole ProprietorNo
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1003695776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · C.2305414
2963 BLUE JACKET CT, Lima, OH 45806

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2963 BLUE JACKET CT
LIMA, OH 45806
Counselor (Mental Health)
2963 BLUE JACKET CT
LIMA, OH 45806
Counselor
2963 BLUE JACKET CT
LIMA, OH 45806
Psychologist (School)
2963 BLUE JACKET CT
LIMA, OH 45806
Counselor
2963 BLUE JACKET CT, SUITE B
LIMA, OH 45806
Counselor (Professional)
2963 BLUE JACKET CT
LIMA, OH 45806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisa Bradley's NPI number?

The NPI number for Elisa Bradley is 1003695776. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Elisa Bradley located?

Elisa Bradley practices at 2963 Blue Jacket Ct, Lima, OH 45806. The listed phone number is (567) 825-1192.

What is Elisa Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elisa Bradley was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.