Individual provider Active NPI

Bradley James Trathen, MA, LPC

  • Professional Counselor
  • Buena Vista, CO
National Provider Identifier
1306450598
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016774 Issued in CO
Practice address
175 Ranch LN
Buena Vista, CO 81211-8167
Phone
(517) 449-8257
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0017496 CO
Professional Counselor 101YP2500X LPC.0016774 CO Primary

Addresses

Primary practice location

175 Ranch LN
Buena Vista, CO 81211-8167

Mailing address

175 Ranch LN
Buena Vista, CO 81211-8167
Phone (517) 449-8257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0017496COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1306450598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RANCH LN",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118167",
            "telephone_number": "517-449-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RANCH LN",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118167",
            "telephone_number": "517-449-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRATHEN",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017496",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

Verify at the official NPI Registry.