Marcus Antonio Bedford Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

HRPSS003512 Issued in CA

Practice address

221 E Barclay St
Long Beach, CA 90805

Phone

(562) 416-3254

Fax

(562) 860-4865

NPI assigned

Apr 27, 2023

Sex

Male

Sole proprietor

Yes

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1891483855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020010",
            "telephone_number": "562-416-3254",
            "fax_number": "562-860-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E BARCLAY ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-416-3254",
            "fax_number": "562-860-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "MARCUS",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "HRPSS003512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghanrose Beckman, ATC
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• Denise Becotte
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• Brett Enz Beebe, DDS
• Kimberely Beeli, LCSW
• Aimee Beemer Magno
• Nighat Beg
• Behavior Education Consulting Center LLC

• Addiction (Substance Use Disorder) Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.