PETER BRADLEY SR. MA, LCPC, CRADC
NPI 1295383115
Counselor - Mental Health in Homewood, IL

Active since September 04, 2019
17900 DIXIE HWY STE 5, HOMEWOOD, IL 60430(708) 365-6373 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Bradley Sr. Ma, Lcpc, Cradc NPPES

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

PETER BRADLEY SR. MA, LCPC, CRADC (NPI 1295383115) is an individual mental health provider in Homewood, Illinois, licensed in Illinois (180.012081) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1295383115
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePETER BRADLEY SR.Credential: MA, LCPC, CRADC
Location Address17900 DIXIE HWY STE 5Homewood, IL 60430-3039
Mailing Address17900 Dixie Hwy Ste 5Homewood, IL 60430-3039 · (708) 365-6373
Sole ProprietorNo
Enumeration DateSeptember 4, 2019
NPI 1295383115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.012081
17900 DIXIE HWY STE 5, Homewood, IL 60430

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
17900 DIXIE HWY STE 5
HOMEWOOD, IL 60430

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 Peter Bradley's NPI number?

The NPI number for Peter Bradley is 1295383115. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Peter Bradley located?

Peter Bradley practices at 17900 Dixie Hwy Ste 5, Homewood, IL 60430. The listed phone number is (708) 365-6373.

What is Peter Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Peter Bradley was last updated on September 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.