Bradley R Taylor Sr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007601 Issued in VA

Practice address

4460 Corporation LN Ste 300
Virginia Beach, VA 23462-3150

Phone

(757) 376-8167

Fax

(757) 452-4447

NPI assigned

Apr 19, 2018

Last updated

May 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  DC

  Medicare reassignment NPD
• First Colonial Psychotherapy Services

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1336294479
  Medicare reassignment
• Lighthouse Counseling and Psychotherapy LLC

  dba Lighthouse Counseling

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1750770137
  NPD

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1609363126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-376-8167",
            "fax_number": "757-452-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-376-8167",
            "fax_number": "757-452-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRADLEY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102138",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000469",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22237",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Taylor-Oliveira, M.S. ED. CCC-SLP
• Charlyn Taylor-Toupin, LRIC
• Alaina Taylor
• Amy Taylor, RN, CBS, IBCLC
• Beth D Taylor, DPT
• Breanna Camille Taylor, LPTA
• Charlize Taylor
• Crystal E Taylor, LPN
• Danielle Renea Taylor, LCSW
• Hannah Layne Taylor, COTA

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.