Individual provider Active NPI

Bradley Plymire, LAADC, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1861852402
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112174 Issued in CA
Practice address
5121 Stockdale Hwy Ste 150-a
Bakersfield, CA 93309-2656
Phone
(661) 868-5069
NPI assigned
Feb 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCI04481015 CA
Marriage & Family Therapist 106H00000X 112174 CA Primary

Addresses

Primary practice location

5121 Stockdale Hwy Ste 150-a
Bakersfield, CA 93309-2656

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-6104

Other practice location 1

2525 North Chester Avenue Ste. C Tower Bldg
Bakersfield, CA 93308-1717
Phone (661) 301-9111

Other practice location 2

1401 L St
Bakersfield, CA 93301-4522
Phone (661) 868-6104

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCI04481015CAMDCounselor
112174CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1861852402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-868-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY STE 150-A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092656",
            "telephone_number": "661-868-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 North Chester Avenue Ste. C Tower Bldg",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933081717",
            "country_code": "US",
            "telephone_number": "661-301-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 L St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014522",
            "country_code": "US",
            "telephone_number": "661-868-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLYMIRE",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "LAADC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LCI04481015",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.