LAQUISHA BRADLEY
NPI 1538513130
Counselor - Mental Health in Buffalo, NY

Q: What is Laquisha Bradley's NPI number?

The NPI number for Laquisha Bradley is 1538513130. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Q: What is Laquisha Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laquisha Bradley was last updated on January 19, 2024. 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.

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment

1500 BROADWAY ST, BUFFALO, NY 14212(716) 249-5166(716) 855-4687 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Laquisha Bradley NPPES

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

LAQUISHA BRADLEY (NPI 1538513130) is an individual mental health provider in Buffalo, New York and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538513130

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLAQUISHA BRADLEY

Location Address1500 BROADWAY STBuffalo, NY 14212-1845

Mailing Address1526 Walden AveCheektowaga, NY 14225-4965 · (716) 895-6700 · Fax (716) 893-0070

Phone(716) 249-5166

Fax(716) 855-4687

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 20, 2016

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1538513130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1500 BROADWAY ST, Buffalo, NY 14212

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laquisha Bradley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678923901

PECOS Enrollment IDI20231228001007

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. CROMWELL PETER MSUKU MD

Counselor (Mental Health)