Individual provider Active NPI

Bradley John Reis, MA LPCA

  • Mental Health Counselor
  • Simpsonville, SC
National Provider Identifier
1710842844
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10786 Issued in SC
Practice address
129 Winding Rock Rd
Simpsonville, SC 29680-2486
Phone
(864) 214-6519
NPI assigned
Dec 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10786 SC Primary

Addresses

Primary practice location

129 Winding Rock Rd
Simpsonville, SC 29680-2486

Mailing address

129 Winding Rock Rd
Simpsonville, SC 29680-2486
Phone (864) 214-6519

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1710842844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WINDING ROCK RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296802486",
            "telephone_number": "864-214-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WINDING ROCK RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296802486",
            "telephone_number": "864-214-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "credential": "MA LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.