JESSICA LAUREN BRADWAY (NPI# 1922572262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922572262 |
| Entity Type | Individual |
| Full Name | JESSICA LAUREN BRADWAY |
| Credential | LPC, ATR, LMT |
| Practice Address |
2230 S Kinnickinnic Ave Milwaukee WI 53207-1330 |
| Mailing Address |
2249 S Woodward St Milwaukee WI 53207-1315 |
| Practice Telephone | 4147584643 |
| Mailing Telephone | 4147584643 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6563-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2230 S KINNICKINNIC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766004 | Suzanne J. Lisowski | Psychologist | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2013-05-06 |
| 1730729302 | Patricia Ranaye Mann | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2020-01-13 |
| 1710429204 | Laurabeth Swift | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2016-11-15 |
| 1669878476 | Amanda Rochwite | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
| 1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| Find all providers in zip 53207 | ||||
| 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 |
|---|---|---|---|---|
| 1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
| 1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
| 1811547334 | Jessica Ann Coffey | Counselor | 1849 N Dr Martin Luther King Jr Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-09-17 |
| 1003468711 | Findley Foundation, Inc | Counselor | 530 S 11th St Ste 300, Milwaukee, WI 53204-1203 | 2019-07-12 |
| 1447816624 | Daniella Marie Curbelo | Counselor | 1849 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-3639 | 2019-05-14 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1417418427 | Melissa Christine Badertscher | Counselor | 2808 S 60th St, Milwaukee, WI 53219-3158 | 2019-03-31 |
| 1437622974 | Chelsey Davis | Counselor | 3511 N 39th St, Milwaukee, WI 53216-3413 | 2019-01-08 |
| 1720584865 | Jeffrey Alan Hill | Counselor | 1933 W Grange Ave, Milwaukee, WI 53221-4363 | 2018-04-05 |
| 1184136988 | Samantha Ann Chesney | Counselor | 5000 W National Ave Ste 3100, Milwaukee, WI 53295-0001 | 2017-11-02 |
| Find all providers in MILWAUKEE | ||||
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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.