Bradley Bendall, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.191796 Issued in OH

Practice address

7373 Dayton Springfield Rd
Enon, OH 45323-1462

Phone

(937) 862-0008

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1821895590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 DAYTON SPRINGFIELD RD",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231462",
            "telephone_number": "937-862-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 DAYTON SPRINGFIELD RD",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231462",
            "telephone_number": "937-862-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDALL",
        "first_name": "BRADLEY",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.191796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Anderson
• Kaitlynn Ault, CDCA
• Barron & Bendall Healing Center, LLC
• Alicia Bendall, LPN
• Katherine Bendall
• Julia Marie Brugler, RN
• Tara Marie Cooper
• Jessica Deese, CDCA
• Divine Intervention Recovery Center, LLC (Divine Intervention Recovery Center)

• Addiction (Substance Use Disorder) Counselor in Enon, OH
• Providers in Enon, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.