Melissa Ann Bradford, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7098630-6004 Issued in UT

Practice address

7601 S Redwood Rd # E
West Jordan, UT 84084-4007

Phone

(801) 233-8670

Fax

(801) 233-8682

NPI assigned

Aug 12, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nichole Rammell Counseling Services

  • Clinical Social Worker
  • St George, UT
  • NPI 1245833870
  Medicare reassignment NPD
• M.E.N.D. Counseling Center, L.L.C.

  • Mental Health Counselor
  • St George, UT
  • NPI 1376256057
  NPD
• Clinical Consultants Family Clinic

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1932837135
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1922387596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 S REDWOOD RD",
            "address_2": "APT. 112",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842451",
            "telephone_number": "801-979-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD # E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670",
            "fax_number": "801-233-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "7098630-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan L. Boyer, APRN
• Robert Owen Boyer, DDS MAGD
• Sarah Anne Boykin, LCSW
• Brad a. Wahlstrom, D.D.S., P.C.
• Alexandra Bradford
• Bryn Walsh Bradley, DC
• Genevieve Wright Bradley
• Sarah Bradley, ATC
• Jayne Marie Bradshaw, LMT
• Kylie Braze

• Professional Counselor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.