BRADLEY EARL WERNER (NPI# 1033614607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033614607 |
| Entity Type | Individual |
| Full Name | BRADLEY EARL WERNER |
| Credential | LPC |
| Practice Address |
4171 Crescent Dr Ste 202 Saint Louis MO 63129-3645 |
| Mailing Address |
4262 Shenandoah Ave Saint Louis MO 63110-3513 |
| Practice Telephone | 3142668671 |
| Mailing Telephone | 3146147915 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4171 CRESCENT DR STE 202 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682612 | Jeana L Roth | Counselor | 4171 Crescent Dr Ste 202, Saint Louis, MO 63129-3645 | 2020-09-07 |
| 1093341679 | Christina Rodriguez Basham | Counselor | 4171 Crescent Dr Ste 202, Saint Louis, MO 63129-3645 | 2020-03-16 |
| 1265078158 | Maria Massey | Counselor | 4171 Crescent Dr Ste 202, Saint Louis, MO 63129-3645 | 2019-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| 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 |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1952922528 | Kevin Mcculloch | Counselor | 4100 Forest Park Ave Apt 423, Saint Louis, MO 63108-2897 | 2020-05-05 |
| 1659912954 | Merrick Hughes | Counselor | 2800 Stoddard St Apt 201, Saint Louis, MO 63106-2211 | 2019-10-08 |
| 1821649757 | John Lucas | Counselor | 200 S Bemiston Ave Ste 101, Saint Louis, MO 63105-1915 | 2019-09-23 |
| 1841840618 | Christa Elizabeth Walker | Counselor | 12360 Manchester Rd Ste 100, Saint Louis, MO 63131-4312 | 2019-09-13 |
| 1477013944 | Wonakee Terrisita Robinson Jr. | Counselor | 5950 Drury Ln, Saint Louis, MO 63147-1112 | 2019-03-21 |
| 1952884397 | Marni A Deutsch | Counselor | 7751 Carondelet Ave Ste 600b, Saint Louis, MO 63105-4043 | 2018-09-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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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.