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

Tonya Annette Bradshaw, LPC

Individual provider Mental Health Counselor · NPI 1245924851

Tonya Annette Bradshaw, LPC is a Mental Health Counselor in Desoto, Texas. Qualified in 2020, 6 years ago. Practices with Deep Eddy Psychotherapy Management, LLC, a 77-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1116 Stone Ridge Ln
Desoto, TX 75115-2852
Phone: (972) 822-6619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4144 N Central Expy Ste 850, Dallas, TX 75204-3226 — (512) 643-8241

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 85257 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 85257

Record details

NPI number1245924851
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Deep Eddy Psychotherapy Management, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Desoto