AMY J BRADLEY (NPI# 1720315187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720315187 |
| Entity Type | Individual |
| Full Name | AMY J BRADLEY |
| Credential | LISW |
| Practice Address |
4761 State Route 29 Celina OH 45822 |
| Mailing Address |
4761 State Rt 29 Foundations Behavioral Health Services Inc Celina OH 45822 |
| Practice Telephone | 4195841000 |
| Practice Fax Number | 4195841825 |
| Mailing Telephone | 4195841000 |
| Mailing Fax Number | 4195841825 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2015-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | I.1302359 | OH | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | S.0500072 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1477898302 | Amy Bradley | Social Worker | 21130 S Lakeview Dr, Panama City Beach, FL 32413-3443 | 2012-12-04 |
| 1265695373 | Amy Grace Bradley | Speech-Language Pathologist | 2245 Kelly Lynn Pl, Fayetteville, AR 72701-0453 | 2008-07-08 |
| 1215024286 | Amy Helen Bradley | Pharmacist | 10 East Ave, Albion, NY 14411-1613 | 2006-10-09 |
| 1366403651 | Amy Connor Bradley | Occupational Therapist | 3310 Neuse Blvd, New Bern, NC 28560 | 2006-03-28 |
| 1174982482 | Amy S Bradley | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 216, Marietta, GA 30060-1161 | 2016-02-15 |
| 1427450378 | Amy Bradley | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-09-23 |
| 1285811778 | Amy D. Bradley | Chiropractor | 302 Camp Rd, Pocahontas, AR 72455-9131 | 2008-01-28 |
| 1932320645 | Amy Bradley | Physical Therapist | 561 N Polk St, Pineville, NC 28134-8563 | 2007-05-01 |
| 1578571634 | Amy Zeigler Bradley | Pharmacist | 501 Front St W, Marty Shopping Center, Coeburn, VA 24230-3607 | 2006-08-04 |
| Street Address |
4761 STATE ROUTE 29 |
| City | CELINA |
| State | OH |
| Zip Code | 45822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118330 | Foundations Behavioral Health Services, Inc. | Clinic/Center | 4761 State Route 29, Celina, OH 45822-8216 | 2006-03-14 |
| 1548877566 | Celia Hitchcock | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2020-09-24 |
| 1396358909 | Vincent Graves | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2020-08-25 |
| 1427670280 | Brianna K Jurosic | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-05-14 |
| 1831723378 | Susan L Gray | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-02-24 |
| 1356971790 | Thomas B Collett | Peer Specialist | 4761 State Route 29, Celina, OH 45822-8216 | 2020-01-24 |
| 1750926184 | Chelsey R Opasik | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2019-11-08 |
| 1528618063 | Savannah K Thees | Peer Specialist | 4761 State Route 29, Celina, OH 45822-8216 | 2019-09-17 |
| 1588218325 | Mariah Rindler | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2019-07-30 |
| 1205497229 | Lindsay Monnier | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974014 | Emily Marie Metz | Speech-Language Pathologist | 715 E Wayne St, Celina, OH 45822 | 2017-07-14 |
| 1184161069 | Lyndie Brown | Speech-Language Pathologist | 903 East Wayne Street, Celina, OH 45822 | 2017-01-30 |
| 1225582752 | Momentum Counseling and Consultation, LLC | Social Worker | 427 E Market St, Celina, OH 45822 | 2016-08-13 |
| 1821497546 | Mindy Muhlenkamp | Occupational Therapist | 441 East Market Street, Celina, OH 45822 | 2014-08-19 |
| 1609136951 | Aaron D. Kuhn | Marriage & Family Therapist | 316 W. Market St, Celina, OH 45822 | 2012-05-21 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1356538664 | Assisted Living Concepts Inc | Assisted Living Facility | 1506 Meadowview Drive, Celena, OH 45822 | 2007-10-01 |
| 1336369800 | Mercer County Board of Mrdd | Case Management | 4980 Mud Pike, Celina, OH 45822 | 2007-04-26 |
| 1720101371 | Mercer Residential Services Inc. | Supports Brokerage | 420 Sugar St, Celina, OH 45822 | 2007-04-09 |
| 1831236264 | Kristina M Goffena | Massage Therapist | 6673 Coldwater Beach Rd, Celina, OH 45822 | 2007-02-01 |
| Find all providers in zip 45822 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665900 | Center for Emotional Health, LLC. | Counselor | 330 Portland St, Celina, OH 45822-2038 | 2020-09-28 |
| 1417513789 | Christyna Skidmore | Counselor | 5194 County Road 170, Celina, TX 75009-4900 | 2019-05-13 |
| 1548757396 | Katherine Murphy | Counselor | 1001 Myers Rd, Celina, OH 45822-1137 | 2018-04-17 |
| 1174040729 | Ashley Searight | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2017-08-24 |
| 1932649621 | Darin David Dodds | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2017-03-01 |
| 1750676599 | Michael D Dennis | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2011-06-09 |
| 1609160092 | Winter D Houser | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868698 | Jana Elaine Kizito | Counselor | 202 Gladys Ave, Mingo Jct, OH 43938-1028 | 2020-10-12 |
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1043826027 | Center of Healing, LLC | Counselor | 292 Greensfield Ln, Copley, OH 44321-3098 | 2020-09-16 |
| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1720692353 | Lindsay Nichole Hall | Counselor | 5136 Birchwood Farms Dr, Mason, OH 45040-3621 | 2020-09-01 |
| 1053923177 | Myla Perry | Counselor | 6549 Coachlight Way, West Chester, OH 45069-2050 | 2020-08-19 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| 1730706151 | Cultivate Counseling Services | Counselor | 7009 Fry Rd, Middleburg Heights, OH 44130-2514 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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| 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.