BRAD JOSEPH NELSON (NPI# 1487138061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487138061 |
Entity Type | Individual |
Full Name | BRAD JOSEPH NELSON |
Credential | LMSW |
Practice Address |
822 Washigton St Montpelier ID 86325-1423 |
Practice Telephone | 2088474464 |
Practice Fax Number | 2088474251 |
Mailing Telephone | 2088474464 |
Mailing Fax Number | 2088474251 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
38058 | ID | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW-38058 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871659284 | Brad Lester Nelson | Specialist/Technologist | 162 W 100 S, Logan High School, Logan, UT 84321-5229 | 2006-12-29 |
1770871659 | Brad Nelson | Chiropractor | 187 S Wickham Rd, Suite 2, Melbourne, FL 32904-1123 | 2011-07-13 |
1467596395 | Brad Edwards Nelson | Dentist | 2525 N 8th St, Suite 101, Grand Junction, CO 81501-8845 | 2007-02-16 |
Street Address |
822 WASHIGTON ST |
City | MONTPELIER |
State | ID |
Zip Code | 86325-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
1104379890 | The Sanctuary At Sedona | Substance Abuse Rehabilitation Facility | 2605 South Cactus Road, Cornville, AZ 86325 | 2016-07-28 |
1154621191 | Rhonda Lynne Anderson Day | Specialist/Technologist | 11920 E. Mingus View Dr., Cornville, AZ 86325 | 2010-10-25 |
1992024285 | Eve Grossman | Acupuncturist | 5000 E Boulder Canyon Drive, Cornville, AZ 86325 | 2010-05-26 |
1356672364 | Angela Rockow | Speech-Language Pathologist | 11490 Purple Sage Drive, Oak Creek School, Cornville, AZ 86325 | 2010-01-15 |
1396998316 | D. Wes Mcdorman | Counselor | 9255 Loy Lane, B, Cornville, AZ 86325 | 2008-11-04 |
1992865083 | Belle Nussbaum | Specialist | 9255 E Loy Ln, Cornville, AZ 86325 | 2006-12-11 |
1720172182 | Lori Jean Coey-ritter | Occupational Therapist | 1035 S Morning Light Ct, Cornville, AZ 86325 | 2006-10-02 |
1407955750 | Karen F Daniels | Specialist | 788 S Jerome Vws, Cornville, AZ 86325-4823 | 2006-09-22 |
1013038728 | Eugene B. Steiner | Pharmacist | 895 S Golf View Dr, Cornville, AZ 86325-4875 | 2007-04-02 |
Find all providers in zip 86325 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
1801410741 | Michele Boyd Delaney | Counselor | 90 Main St Ste 311, Montpelier, VT 05602-3242 | 2020-06-06 |
1275187288 | Wendy Halley | Counselor | 97 State St, Montpelier, VT 05602-3218 | 2019-07-29 |
1407329857 | Kenneth Pryor | Counselor | 14662 Bethany Church Rd, Montpelier, VA 23192-2611 | 2019-01-08 |
1508370073 | Virginia Giles | Counselor | 149 State St, Montpelier, VT 05602-2965 | 2017-11-20 |
1578072211 | Dianne Turenne | Counselor | 147 State St Ste 4, Montpelier, VT 05602-3301 | 2017-09-26 |
1922524370 | Claire Berry | Counselor | 149 State St # 6, Montpelier, VT 05602-2965 | 2017-08-17 |
1346653870 | Noah Weinstein | Counselor | 56 E State St, Montpelier, VT 05602-3012 | 2014-06-02 |
1225470644 | Lori-ann Christie | Counselor | 52 Prospect Street, Apt 3, Montpelier, VT 05602 | 2013-07-26 |
1164762928 | Jackie Ritke Jones | Counselor | 5 High School Dr, Montpelier, VT 05602-3344 | 2013-02-15 |
Find all providers in MONTPELIER |
City | MONTPELIER |
Zip Code | 86325 |
Please comment or provide details below to improve the information on BRAD JOSEPH NELSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.