Individual provider Active NPI

Bradley Thomas Wilson, LMFT

  • Mental Health Counselor
  • Newport Beach, CA
National Provider Identifier
1871244244
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
130605 Issued in CA
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

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
130605CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
End the Ocd & Anxiety Cycle LLC Adult Mental Health CurrentSince Jan 26, 2022 Accepting new patients
Bradley T Wilson Family Counseling Inc Mental Health CurrentSince Jan 1, 2023 Accepting new patients
The Ocd Treatment Center Adult Mental Health CurrentSince May 1, 2022 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.

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.

Verify at the official NPI Registry.