Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Elijah Kooma

Individual provider Mental Health Counselor · NPI 1932967478

Bradley Elijah Kooma is a Mental Health Counselor in Jericho, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317
Phone: (516) 399-5373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013207 (NY)

Record details

NPI number1932967478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address85 Violet St, Central Islip, NY 11722-2630

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