Robert Bradley, LPC
Individual provider Active NPI Mental Health Counselor · Maxwelton, WV
NPI 1154878346 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1154878346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2871 (WV)
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 497-0500
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seneca Health Services Inc
Practice addresses (Care Compare)
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (888) 736-3223
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104000397 | WV | Practitioner - Mental Health Counselor | 7214388263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Health Services, Inc. | Current |
Accepting new patients | |
| Seneca Health Services, Inc. | Current |
Accepting new patients | |
| Seneca Health Services Inc | Community/Behavioral Health | Past | Accepting new patients |
Locations
668 Church St
Lewisburg, WV 24901
Phone (304) 497-0500
704 3rd Ave
#A
Marlinton, WV 24954
Phone (304) 799-6865
704 3rd Ave
Marlinton, WV 24954
Phone (304) 799-6865
804 Industrial Park Rd
Ste 1
Maxwelton, WV 24957
Phone (304) 497-0500
804 Industrial Park Rd
Maxwelton, WV 24957
Phone (304) 497-0500
131 Wellness Dr
Summersville, WV 26651
Phone (304) 872-6503
180 Wellness Dr
Summersville, WV 26651
Phone (304) 872-0058
70 Parcoal Rd
Webster Springs, WV 26288
Phone (304) 847-5425
70 Parcoal Rd
#71
Webster Springs, WV 26288
Phone (304) 847-5425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2871 | WV | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 497-0500
Other providers in Maxwelton, WV
- Joseph F Bee
- Terry Lynn Belt
- Nicholas Anthony Boiteau
- Patricia Bostic
- Sarah Bostic
- Marcus Algelo Brandon
- Cherith Delaine Brooks
- Ozella G Brown
- Erica Brownfield
- Sarah Lindsey Buckland
All providers in Maxwelton, WV · Mental Health Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.