STACY BRADLEY (NPI# 1679723852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679723852 |
| Entity Type | Individual |
| Full Name | STACY BRADLEY |
| Practice Address |
200 High Rise Dr Ste. 330 Louisville KY 40213-3252 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437274776 | Stacy Denise Bradley | Psychologist | 5939 Reddman Rd, Charlotte, NC 28212-1654 | 2007-03-19 |
| 1659517878 | Stacy L Bradley | Registered Nurse | 301 Mcghee St, Maryville, TN 37801-6811 | 2008-12-17 |
| Street Address |
200 HIGH RISE DR STE. 330 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255396610 | Yasier A Basheer-gowi | Family Medicine | 200 High Rise Dr, Ste 374, Louisville, KY 40213-3252 | 2006-04-19 |
| 1093119869 | Alternative Youth Services, Inc. | Foster Care Agency | 200 High Rise Dr, Suite 155, Louisville, KY 40213-3252 | 2014-10-22 |
| 1992127021 | Laura Bennett | Case Management | 200 High Rise Dr, Louisville, KY 40213-3252 | 2014-01-08 |
| 1427489418 | Elizabeth Johnson | Marriage & Family Therapist | 200 High Rise Dr, Suite 374, Louisville, KY 40213-3252 | 2013-12-02 |
| 1720418114 | Nicholas Allan Brown | Case Manager/Care Coordinator | 200 High Rise Dr, #330, Louisville, KY 40213-3252 | 2013-11-20 |
| 1336579838 | Brittany Hamilton | Case Manager/Care Coordinator | 200 High Rise Dr, Louisville, KY 40213-3252 | 2013-11-19 |
| 1508205790 | Emma Groskind | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-20 |
| 1487093894 | Jonathan Frazier | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| 1558700963 | Jennifer O'connor | Counselor | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| 1891134201 | Tyler Spears | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| 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 |
|---|---|---|---|---|
| 1588281711 | Net Law Group, Inc | Counselor | 12910 Shelbyville Rd Ste 124, Louisville, KY 40243-1594 | 2020-07-04 |
| 1114541521 | Misty R Keith | Counselor | 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 | 2020-06-01 |
| 1659938678 | Yomna Amer | Counselor | 9110 Auburn Woods Ct, Louisville, KY 40214-7601 | 2019-05-24 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1316419765 | Maurice F Williamson | Counselor | 12807 Bay Tree Way, Louisville, KY 40245-6536 | 2018-12-26 |
| 1013493717 | Vision of Promise LLC | Counselor | 2312 S Preston St Unit 17707, Louisville, KY 40217-5029 | 2018-07-16 |
| 1902310790 | Susan Elizabeth St Vrain | Counselor | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2017-12-01 |
| 1649799834 | Nicola A Heekin | Counselor | 126 Heady Ave, Louisville, KY 40207-3916 | 2017-09-19 |
| 1871022483 | Kelly Stuhldreher | Counselor | 1293 California Ave Ste A, Louisville, OH 44641-8749 | 2017-06-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on STACY BRADLEY.
| 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.