Active NPI
Louis Herod Bedford III, LPC
- Counselor
- Plain City, OH
National Provider Identifier
1063257228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C0004622-SUPV
- Practice address
- 9700 Crottinger Rd
Plain City, OH 43064-8888 - Phone
- (614) 507-1472
- NPI assigned
- Jun 28, 2024
- Last updated
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C0004622-SUPV | OH | Primary |
Addresses
Primary practice location
9700 Crottinger Rd
Plain City, OH 43064-8888
Mailing address
PO Box 252
Plain City, OH 43064-0252
Phone (614) 507-1472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004622-SUPV | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culpepper Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Plain City, OH
- NPI 1851713549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1063257228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 252",
"city": "PLAIN CITY",
"state": "OH",
"postal_code": "430640252",
"telephone_number": "614-507-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 CROTTINGER RD",
"city": "PLAIN CITY",
"state": "OH",
"postal_code": "430648888",
"telephone_number": "614-507-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "LOUIS",
"middle_name": "HEROD",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0004622-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plain City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.