JESSICA BRADLEY LCMHCA
NPI 1518548577
Counselor - Professional in Lake Waccamaw, NC

Q: What is Jessica Bradley's NPI number?

The NPI number for Jessica Bradley is 1518548577. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Jessica Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Bradley was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 20, 2021

104 EAST OLD US HWY 74/76, LAKE WACCAMAW, NC 28450(910) 646-3083 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Bradley Lcmhca NPPES

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

JESSICA BRADLEY LCMHCA (NPI 1518548577) is an individual professional provider in Lake Waccamaw, North Carolina, licensed in North Carolina (A16116) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1518548577

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA BRADLEYCredential: LCMHCA

Location Address104 EAST OLD US HWY 74/76Lake Waccamaw, NC 28450

Mailing AddressPo Box 127Lake Waccamaw, NC 28450-0127 · (910) 646-3083

Phone(910) 646-3083

Sole ProprietorYes

Enumeration DateApril 20, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1518548577 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 NC · A16116

104 EAST OLD US HWY 74/76, Lake Waccamaw, NC 28450

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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 Jessica Bradley's NPI number?

The NPI number for Jessica Bradley is 1518548577. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Jessica Bradley located?

Jessica Bradley practices at 104 East Old Us Hwy 74/76, Lake Waccamaw, NC 28450. The listed phone number is (910) 646-3083.

What is Jessica 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 Jessica Bradley was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.