MISHA BRADLEY (NPI# 1568934735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568934735 |
| Entity Type | Individual |
| Full Name | MISHA BRADLEY |
| Credential | LCPC |
| Practice Address |
1900 W Polk St Ste 154 Chicago IL 60612-3723 |
| Mailing Address |
7515 S Michigan Ave Chicago IL 60619-1604 |
| Practice Telephone | 3125331249 |
| Mailing Telephone | 7737200238 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.007117 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1900 W POLK ST STE 154 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635818 | Erin Elizabeth Serrano | Social Worker | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-10-15 |
| 1396219499 | Timothy Paul Higgins | Social Worker | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2019-01-11 |
| 1770055097 | Leah Taylor | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-12-27 |
| 1154893824 | Aneesha Nicole Powell-humphrey | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-12-19 |
| 1124599741 | Brandee Denise Stanton | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-12-07 |
| 1861963407 | Marcie Neshia Powers Ross | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-12-07 |
| 1750858247 | Claire Helen Purkis | Social Worker | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-11-01 |
| 1154898922 | Micah Fry | Social Worker | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-10-30 |
| 1285101014 | Vicki Odom | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-10-30 |
| 1265908693 | Anita Abraham | Registered Nurse | 1900 W Polk St Ste 154, Chicago, IL 60612-3723 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.