1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Marriage Family Therapist
  6. NPI Profile

ANGELA BRADSHAW
NPI 1902762693
Marriage & Family Therapist in Los Angeles, CA

Active since December 26, 2025Opted out of Medicare · through Aug 6, 2027
12401 WILSHIRE BLVD STE 304, LOS ANGELES, CA 90025(424) 291-2763 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Bradshaw NPPES

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

ANGELA BRADSHAW (NPI 1902762693) is an individual marriage & family therapist in Los Angeles, California, licensed in California (152900) and active in the NPI registry since December 2025. She has opted out of Medicare through August 6, 2027.

NPPES Registry Identity

NPI1902762693
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGELA BRADSHAW
Location Address12401 WILSHIRE BLVD STE 304Los Angeles, CA 90025-1087
Mailing Address12401 Wilshire Blvd Ste 303Los Angeles, CA 90025-1087 · (424) 291-2763
Phone(424) 291-2763
Sole ProprietorNo
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1902762693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 152900
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
12401 WILSHIRE BLVD STE 304, Los Angeles, CA 90025
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Angela Bradshaw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 6, 2025 through August 6, 2027.

Opt-Out Effective DateAugust 6, 2025
Opt-Out In Effect ThroughAugust 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

SARAH BIBBO
Social Worker (Clinical)
12401 WILSHIRE BLVD STE 304
LOS ANGELES, CA 90025
Los Angeles County (424) 422-1626
BARBARA HEIMAN M.A., L.M.F.T.
Marriage & Family Therapist
12401 WILSHIRE BLVD STE 304
LOS ANGELES, CA 90025
Los Angeles County (310) 251-7261
DR. KRISTEN MELNYK M.D.
Psychiatry & Neurology (Psychiatry)
12401 WILSHIRE BLVD STE 304
LOS ANGELES, CA 90025
Los Angeles County (310) 476-9940

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 Angela Bradshaw's NPI number?

The NPI number for Angela Bradshaw is 1902762693. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Angela Bradshaw located?

Angela Bradshaw practices at 12401 Wilshire Blvd Ste 304, Los Angeles, CA 90025. The listed phone number is (424) 291-2763.

What is Angela Bradshaw's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angela Bradshaw enrolled in Medicare?

No. Angela Bradshaw has opted out of Medicare through August 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Angela Bradshaw was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.