KELLEY D BRADSHAW
NPI 1063383354
Counselor in Dorchester, MA

Active since September 17, 2025
895 BLUE HILL AVE, DORCHESTER, MA 02124(617) 506-8188 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelley D Bradshaw NPPES

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

KELLEY D BRADSHAW (NPI 1063383354) is an individual counselor in Dorchester, Massachusetts and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063383354
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLEY D BRADSHAW
Location Address895 BLUE HILL AVEDorchester, MA 02124-2902
Mailing Address11 Parker StHyde Park, MA 02136-3810
Sole ProprietorYes
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1063383354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

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.

895 BLUE HILL AVE, Dorchester, MA 02124

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
895 BLUE HILL AVE
BOSTON, MA 02124
Counselor (Mental Health)
895 BLUE HILL AVE
DORCHESTER, MA 02124
Counselor
895 BLUE HILL AVE
DORCHESTER, MA 02124
Counselor
895 BLUE HILL AVE
DORCHESTER, MA 02124
Student in an Organized Health Care Education/Training Program
895 BLUE HILL AVE
BOSTON, MA 02124
Counselor (Mental Health)
895 BLUE HILL AVE
BOSTON, MA 02124
Counselor (Mental Health)
895 BLUE HILL AVE
DORCHESTER, MA 02124
Counselor (Mental Health)
895 BLUE HILL AVE
BOSTON, MA 02124

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 Kelley Bradshaw's NPI number?

The NPI number for Kelley Bradshaw is 1063383354. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Kelley Bradshaw located?

Kelley Bradshaw practices at 895 Blue Hill Ave, Dorchester, MA 02124. The listed phone number is (617) 506-8188.

What is Kelley Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelley Bradshaw was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.