MR. BRADLEY MICHAEL KINNEAR (NPI# 1629109822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629109822 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY MICHAEL KINNEAR |
| Credential | LPC |
| Practice Address |
1 Brookings Dr Saint Louis MO 63130-4862 |
| Mailing Address |
1 Brookings Dr Cb 1201 Saint Louis MO 63130-4862 |
| Practice Telephone | 3149356666 |
| Practice Fax Number | 3149358515 |
| Mailing Telephone | 3149356666 |
| Mailing Fax Number | 3149358515 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2007012820 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1 BROOKINGS DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699443 | Lisa R Ross | Internal Medicine | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2005-09-12 |
| 1558962746 | Melissa Showalter | Social Worker | 1 Brookings Dr, Saint Louis, MO 63130-4899 | 2020-11-04 |
| 1184235228 | Melissa Chapnick | Dietitian, Registered | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2020-08-12 |
| 1902364672 | Jill Marie Eaton | Registered Nurse | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-03-12 |
| 1356807010 | Kristin Miserocchi | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-02-18 |
| 1063999415 | Yujia Lei | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-07-27 |
| 1851899165 | Aditi Ahlawat | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-02-01 |
| 1124530266 | Marilyn S Hubert | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2017-10-30 |
| 1780057810 | Timika S Edwards | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-11-11 |
| 1235507260 | Shannon Gartland | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
Please comment or provide details below to improve the information on MR. BRADLEY MICHAEL KINNEAR.
| 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.