1. Home
  2. Directory
  3. New Jersey
  4. Maplewood
  5. Counselor
  6. NPI Profile

OCTAVIA BRADLEY BA
NPI 1417614447
Counselor - Professional in Maplewood, NJ

Active since November 24, 2021
2115 MILLBURN AVE STE 104, MAPLEWOOD, NJ 07040(973) 850-9554 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Octavia Bradley Ba NPPES

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

OCTAVIA BRADLEY BA (NPI 1417614447) is an individual professional provider in Maplewood, New Jersey and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1417614447
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOCTAVIA BRADLEYCredential: BA
Location Address2115 MILLBURN AVE STE 104Maplewood, NJ 07040-3714
Mailing Address2115 Millburn Ave Ste 104Maplewood, NJ 07040-3714 · (973) 850-9554
Phone(973) 850-9554
Sole ProprietorYes
Enumeration DateNovember 24, 2021
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1417614447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2115 MILLBURN AVE STE 104, Maplewood, NJ 07040
Open in Google Maps ↗

Other Identifiers 2

Other83-2600221NJ · Tax Identification Number
Other832600221NJ · Tax Identification

Other Providers at the Same Location NPPES

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

DR. IRENE JORDAN DOCTORATE
Counselor (Mental Health)
2115 MILLBURN AVE STE 104
MAPLEWOOD, NJ 07040
Essex County (973) 850-9554

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 Octavia Bradley's NPI number?

The NPI number for Octavia Bradley is 1417614447. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Where is Octavia Bradley located?

Octavia Bradley practices at 2115 Millburn Ave Ste 104, Maplewood, NJ 07040. The listed phone number is (973) 850-9554.

What is Octavia 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 Octavia Bradley was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.