Active NPI
Bradford Hetzler Price, PH.D.
- Professional Counselor
- Poland, OH
National Provider Identifier
1609000173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C 0500197
- Practice address
- 831 Southwestern Run Ste 2
Poland, OH 44514-3694 - Phone
- (330) 726-2965
- Fax
- (330) 726-0449
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Mental Health Counselor | 101YM0800X | C 0500197 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 862275 | OH | |
| Professional Counselor | 101YP2500X | C 0500197 | OH | Primary |
Addresses
Primary practice location
831 Southwestern Run Ste 2
Poland, OH 44514-3694
Mailing address
4461 Timberdale Dr
Stow, OH 44224-1831
Phone (330) 671-9906
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 862275 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C 0500197 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copley Counseling Centre Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Poland, OH
- NPI 1215116264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775260800000",
"number": "1609000173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 TIMBERDALE DR",
"city": "STOW",
"state": "OH",
"postal_code": "442241831",
"telephone_number": "330-671-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 SOUTHWESTERN RUN STE 2",
"city": "POLAND",
"state": "OH",
"postal_code": "445143694",
"telephone_number": "330-726-2965",
"fax_number": "330-726-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "BRADFORD",
"middle_name": "HETZLER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2026-04-04",
"certification_date": "2026-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C 0500197",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "862275",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C 0500197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.