Individual provider Active NPI

Bradford Gregory Parfitt, LCSW, CDCII, BHAIII

  • Clinical Social Worker
  • Juneau, AK
National Provider Identifier
1659925055
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
210716 Issued in AK
Practice address
3051 Vitage Blvd.
Juneau, AK 99801
Phone
(907) 463-0160
Fax
(907) 463-0161
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4063 AK
Clinical Social Worker 1041C0700X 210716 AK Primary

Addresses

Primary practice location

3051 Vitage Blvd.
Juneau, AK 99801

Mailing address

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4000

Other practice location 1

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000739 TX Practitioner - Clinical Social Worker 3476090747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3051 Vintage Blvd
200 Searhc Behav HLTH
Juneau, AK 99801-2807
Phone (907) 364-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4063AKMDAddiction (Substance Use Disorder) Counselor
210716AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients

Locations

3051 Vintage Blvd
Juneau, AK 99801
Phone (907) 463-0100

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3051 Vintage Blvd
Ste 200
Juneau, AK 99801
Phone (907) 364-4445

3051 Vintage Blvd
#200
Juneau, AK 99801

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1659925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4000",
            "fax_number": "907-463-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VITAGE BLVD.",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-0160",
            "fax_number": "907-463-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Channel Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017837",
            "country_code": "US",
            "telephone_number": "907-463-0160",
            "fax_number": "907-780-6083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARFITT",
        "first_name": "BRADFORD",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LCSW, CDCII, BHAIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "4063",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "210716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.