Individual provider Active NPI

Bradley Craig Shortt, LPC

  • Professional Counselor
  • Bristol, VA
National Provider Identifier
1841070950
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012931 Issued in VA
Practice address
261 North St
Bristol, VA 24201-3275
Phone
(276) 807-8070
NPI assigned
Oct 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012931 VA Primary

Addresses

Primary practice location

261 North St
Bristol, VA 24201-3275

Mailing address

PO Box 352
Abingdon, VA 24212-0352
Phone (276) 393-1201

Other practice location 1

481 Bradley St SW
Abingdon, VA 24210-3051
Phone (276) 254-5445

Other practice location 2

3130 Lee Hwy Ste 104-105
Bristol, VA 24202-6025
Phone (276) 254-5445

Other practice location 3

24658 Dickenson Hwy
Haysi, VA 24256-5003
Phone (276) 254-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 15, 2024 through Oct 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701012931VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Steps Services, Inc. CurrentSince Apr 8, 2020 Accepting new patients

Locations

481 Bradley St SW
Abingdon, VA 24210
Phone (276) 254-5445

261 North St
Bristol, VA 24201
Phone (276) 254-5445

3130 Lee Hwy
Ste 104105
Bristol, VA 24202
Phone (276) 254-5445

24658 Dickenson Hwy
Haysi, VA 24256
Phone (276) 254-5445

24658 Dickenson Hwy
#200
Haysi, VA 24256

Organizations & group practices 1

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1841070950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120352",
            "telephone_number": "276-393-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013275",
            "telephone_number": "276-807-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Bradley St SW",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103051",
            "country_code": "US",
            "telephone_number": "276-254-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Lee Hwy Ste 104-105",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242026025",
            "country_code": "US",
            "telephone_number": "276-254-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24658 Dickenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Haysi",
            "state": "VA",
            "postal_code": "242565003",
            "country_code": "US",
            "telephone_number": "276-254-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTT",
        "first_name": "BRADLEY",
        "middle_name": "CRAIG",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.