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MS. MARY BRADLEY CG60735677
NPI 1568934420
Peer Specialist in Tacoma, WA

Active since December 17, 2018
2422 96TH ST S APT J105, TACOMA, WA 98444(805) 217-5654 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2022, Dec 17, 2018 (2 updates tracked since 2018).

About Ms. Mary Bradley Cg60735677 NPPES

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

MS. MARY BRADLEY CG60735677 (NPI 1568934420) is an individual peer specialist in Tacoma, Washington, licensed in Washington (CG60735677) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1568934420
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. MARY BRADLEYCredential: CG60735677
Location Address2422 96TH ST S APT J105Tacoma, WA 98444-1782
Mailing Address2422 96th St S Apt J105Tacoma, WA 98444-1782 · (805) 217-5654
Phone(805) 217-5654
Sole ProprietorYes
Enumeration DateDecember 17, 2018
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1568934420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG60735677
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CG60735677 (WA)
2422 96TH ST S APT J105, Tacoma, WA 98444
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Other Identifiers 1

MedicaidCG60735677WA

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 Mary Bradley's NPI number?

The NPI number for Mary Bradley is 1568934420. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Mary Bradley located?

Mary Bradley practices at 2422 96th St S Apt J105, Tacoma, WA 98444. The listed phone number is (805) 217-5654.

What is Mary Bradley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mary Bradley was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.