Bradford Stokes, LVRC, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9104416-6009 Issued in UT

Practice address

246 E 1260 N
Logan, UT 84341-7501

Phone

(435) 750-6300

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan Mental Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, UT
  • NPI 1760064299
  NPD (past)
• The Family Place Utah

  • Community/Behavioral Health Agency
  • Logan, UT
  • NPI 1326336447
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1477018554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E 1260 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417501",
            "telephone_number": "435-750-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E 1260 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417501",
            "telephone_number": "435-750-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "BRADFORD",
        "credential": "LVRC, CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9104416-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyman B Stevens, M.D.
• Mason Curtis Stevens, LCSW
• Mark Stevenson
• Robert Louis Bannatyne Stevenson, CLINICAL AUDIOLOGIST
• Stillpoint Wellness LLC
• Gary Neil Stokes, M.D
• Ryan J Stolworthy, MD
• Michael J Stones, MD
• Amanda E Stott, FNP
• Leigh Stott

• Mental Health Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.