Individual provider Active NPI

Patricia L. Bradley-Bates, LPC, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
National Provider Identifier
1205897121
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-0052 Issued in AZ
Practice address
10220 N 31St Ave
Suite 205
Phoenix, AZ 85051-9581
Phone
(602) 843-0000
Fax
(602) 997-1305
NPI assigned
Mar 30, 2006
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-0052 AZ Primary
Professional Counselor 101YP2500X LPC-0757 AZ

Addresses

Primary practice location

10220 N 31St Ave
Suite 205
Phoenix, AZ 85051-9581

Mailing address

10220 N 31St Ave
Suite 205
Phoenix, AZ 85051-9581
Phone (602) 843-0000

Other names 1

  • Ms. Patricia L. Bates Other name

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

LicenseStateTypeSpecialty
LISAC-0052AZMDAddiction (Substance Use Disorder) Counselor
LPC-0757AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1205897121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 N 31ST AVE",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519581",
            "telephone_number": "602-843-0000",
            "fax_number": "602-997-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 N 31ST AVE",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519581",
            "telephone_number": "602-843-0000",
            "fax_number": "602-997-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-BATES",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-0052",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-0757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BATES",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "LPC, LISAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.