Individual provider Active NPI

Rolla Merle Bradley Jr., PH.D, LPC-S

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1063765246
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14527 Issued in TX
Practice address
303 N Carroll Blvd Ste 114
Denton, TX 76201-9075
Phone
(844) 824-8775
NPI assigned
Oct 25, 2012
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14527 TX
Pastoral Counselor 101YP1600X 14527 TX
Professional Counselor 101YP2500X 14527 TX Primary
School Counselor 101YS0200X 14527 TX

Addresses

Primary practice location

303 N Carroll Blvd Ste 114
Denton, TX 76201-9075

Mailing address

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

Other practice location 1

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122000787 TX Practitioner - Mental Health Counselor 5496107823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

303 N Carroll Blvd
Suite 114
Denton, TX 76201-9075
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14527TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Success Track LLC Past Accepting new patients
Lazarus Project Group PLLC Mental Health Past Accepting new patients

Locations

11300 N Central Expy
Ste 400
Dallas, TX 75243
Phone (469) 579-2264

303 N Carroll Blvd
Ste 114
Denton, TX 76201
Phone (443) 938-4844

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

1300 S University Dr
Ste 306
Ft Worth, TX 76107
Phone (817) 410-7300

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (346) 584-4858

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

2222 W Spring Creek Pkwy
Ste 116
Plano, TX 75023
Phone (972) 964-3214

4825 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (469) 250-8007

5300 Democracy Dr
Ste 110
Plano, TX 75024
Phone (469) 607-0076

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

510 Austin Ave
Waco, TX 76701
Phone (254) 224-5757

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1063765246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CARROLL BLVD STE 114",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019075",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 S Friendswood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775463989",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ROLLA",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D, LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14527",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "14527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14527",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "14527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.