Individual provider Active NPI

Bradley Allen Sansom, MS, CADC

  • Marriage & Family Therapist
  • Paintsville, KY
National Provider Identifier
1649880170
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
283842 Issued in KY
Practice address
628 Jefferson Ave
Paintsville, KY 41240-1471
Phone
(606) 789-6966
Fax
(606) 789-7466
NPI assigned
Aug 10, 2020
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 283842 KY Primary

Addresses

Primary practice location

628 Jefferson Ave
Paintsville, KY 41240-1471

Mailing address

150 Goble BR
Hagerhill, KY 41222-8639

Other practice location 1

150 Goble Br
Hagerhill, KY 41222-8639
Phone (304) 654-7557

Other names 1

  • Mr. Bradley Allen Sansom Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
244702KYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1649880170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GOBLE BR",
            "city": "HAGERHILL",
            "state": "KY",
            "postal_code": "412228639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 JEFFERSON AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401471",
            "telephone_number": "606-789-6966",
            "fax_number": "606-789-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Goble Br",
            "address_purpose": "LOCATION",
            "city": "Hagerhill",
            "state": "KY",
            "postal_code": "412228639",
            "country_code": "US",
            "telephone_number": "304-654-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSOM",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MS, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "283842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "SANSOM",
            "middle_name": "ALLEN",
            "prefix": "MR.",
            "credential": "ED.S, M.S, MFTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.