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GABRIELLE BRADLEY CDCA
NPI 1912465717
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since March 11, 2019PECOS Enrolled
4488 W BROAD ST, COLUMBUS, OH 43228(614) 639-5494 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2025, Apr 1, 2024, Jan 10, 2022 and 2 more (5 updates tracked since 2019).

About Gabrielle Bradley Cdca NPPES

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

GABRIELLE BRADLEY CDCA (NPI 1912465717) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (LCDCIII.162825) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912465717
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGABRIELLE BRADLEYCredential: CDCA
Location Address4488 W BROAD STColumbus, OH 43228-5610
Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (513) 834-7063
Phone(614) 639-5494
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 11, 2019
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1912465717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.162825
Also ListedSocial WorkerTaxonomy 104100000X · License S.2511896 (OH)
4488 W BROAD ST, Columbus, OH 43228
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1195 N Grant Ave Ste 250Columbus, OH 43215-2855 · Phone (440) 260-8300
Location 25815 Westbourne AveColumbus, OH 43213-1459 · Phone (513) 834-7063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabrielle Bradley Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456840743
PECOS Enrollment IDI20251028001129
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. PHILLIP T LATHAM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-7778
DR. JOHN A CHEEK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-7778
MARY E SCOTT M.D INC.
Family Medicine
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-0470
DR. JAN HOLMGREN EVANS PH.D., LPCC, MAC
Counselor (Mental Health)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 870-6670
MS. SYLVIA M ARDIS MFT
Marriage & Family Therapist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 877-0667
TOUCH THERAPY, LLC
Contractor
4488 W BROAD ST, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 746-6746
MICHAEL SCHAEFER P.C.C.
Counselor (Professional)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 870-6670
MR. ANDRE BALLINGER LMT
Specialist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 746-6746

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 Gabrielle Bradley's NPI number?

The NPI number for Gabrielle Bradley is 1912465717. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Gabrielle Bradley located?

Gabrielle Bradley practices at 4488 W Broad St, Columbus, OH 43228. The listed phone number is (614) 639-5494.

What is Gabrielle Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Gabrielle Bradley enrolled in Medicare?

Yes. Gabrielle Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabrielle Bradley was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.