Individual provider Active NPI

Bradley Dorrill, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1407221393
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13509 Issued in FL
Practice address
2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000
Phone
(941) 376-6758
Fax
(941) 218-2447
NPI assigned
Dec 3, 2015
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13509 FL Primary

Addresses

Primary practice location

2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000

Mailing address

2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000
Phone (941) 376-6758

Other practice location 1

1945 Morrill St
Suite A
Sarasota, FL 34236-6934
Phone (941) 376-6758

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
MH13509FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1407221393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 STICKNEY POINT RD STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316000",
            "telephone_number": "941-376-6758",
            "fax_number": "941-218-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 STICKNEY POINT RD STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316000",
            "telephone_number": "941-376-6758",
            "fax_number": "941-218-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Morrill St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342366934",
            "country_code": "US",
            "telephone_number": "941-376-6758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORRILL",
        "first_name": "BRADLEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.