Active NPI
Bradley Thomas Wilson, LMFT
- Mental Health Counselor
- Newport Beach, CA
National Provider Identifier
1871244244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 130605
- Practice address
- 1451 Quail St Ste 112
Newport Beach, CA 92660-2747 - Phone
- (949) 398-8350
- NPI assigned
- Jan 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 130605 | CA | |
| Mental Health Counselor | 101YM0800X | 130605 | CA | Primary |
Addresses
Primary practice location
1451 Quail St Ste 112
Newport Beach, CA 92660-2747
Mailing address
1451 Quail St Ste 112
Newport Beach, CA 92660-2747
Phone (714) 253-4537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130605 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| End the Ocd & Anxiety Cycle LLC | Adult Mental Health | Current | Accepting new patients |
| Bradley T Wilson Family Counseling Inc | Mental Health | Current | Accepting new patients |
| The Ocd Treatment Center | Adult Mental Health | Current | Accepting new patients |
Locations
18430 Brookhurst St
Ste 202A
Fountain Valley, CA 92708
Phone (714) 253-4537
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The OCD Treatment Center
- Adult Mental Health Clinic/Center
- Newport Beach, CA
- NPI 1619681152
-
- Adult Mental Health Clinic/Center
- Fountain Valley, CA
- NPI 1285385666
-
- Adult Mental Health Clinic/Center
- Fountain Valley, CA
- NPI 1497499537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1871244244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 QUAIL ST STE 112",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602747",
"telephone_number": "714-253-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 QUAIL ST STE 112",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602747",
"telephone_number": "949-398-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRADLEY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-17",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "130605",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "130605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.