BRADLEY ELIJAH KOOMA - NPI 1932967478 - Counselor in Jericho, NY

Q: What is Bradley Kooma's NPI number?

The NPI number for Bradley Kooma is 1932967478. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Bradley Kooma'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 Bradley Kooma was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bradley Elijah Kooma NPPES

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

BRADLEY ELIJAH KOOMA (NPI 1932967478) is an individual mental health provider in Jericho, New York, licensed in New York (013207) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1932967478

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameBRADLEY ELIJAH KOOMA

Location Address350 JERICHO TPKE STE 103Jericho, NY 11753-1317

Mailing Address85 Violet StCentral Islip, NY 11722-2630 · (347) 526-1904

Phone(516) 399-5373

Sole ProprietorNo

Enumeration DateMarch 11, 2024

Last NPPES UpdateMay 27, 2025

NPPES CertifiedMay 27, 2025

✔ NPI 1932967478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 013207

350 JERICHO TPKE STE 103, Jericho, NY 11753

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Other Providers at the Same Location NPPES 19

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

CARINA SCIVOLETTE MHC-LP

Counselor (Mental Health)