MRS. TALYA DAWN BRADFORD LCPC
NPI 1073742581
Counselor - Professional in Severna Park, MD

Active since July 06, 2009Opted out of Medicare · through Feb 5, 2027
877 BALTIMORE ANNAPOLIS BLVD STE 308, SEVERNA PARK, MD 21146(443) 871-8815 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Talya Dawn Bradford Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TALYA DAWN BRADFORD LCPC (NPI 1073742581) is an individual professional provider in Severna Park, Maryland, licensed in Maryland (LC3182) and active in the NPI registry since July 2009. She has opted out of Medicare through February 5, 2027.

NPPES Registry Identity

NPI1073742581
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TALYA DAWN BRADFORDCredential: LCPC
Location Address877 BALTIMORE ANNAPOLIS BLVD STE 308Severna Park, MD 21146-4716
Mailing Address789 Oak Stump DrMillersville, MD 21108-1850 · (443) 871-8815
Sole ProprietorYes
Enumeration DateJuly 6, 2009
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1073742581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC3182
877 BALTIMORE ANNAPOLIS BLVD STE 308, Severna Park, MD 21146

Other Names 1

Former Name (1)Miss Talya Dawn Belchatovski B.a.

Other Identifiers 2

Medicaid0385921 00MD
Medicaid654699MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Talya Dawn Bradford Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2025 through February 5, 2027.

Opt-Out Effective DateFebruary 5, 2025
Opt-Out In Effect ThroughFebruary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Marriage & Family Therapist
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Counselor (Professional)
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Counselor (Professional)
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Counselor
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Marriage & Family Therapist
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Counselor (Professional)
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146
Marriage & Family Therapist
877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD 21146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Talya Bradford's NPI number?

The NPI number for Talya Bradford is 1073742581. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Miss Talya Dawn Belchatovski B.A..

Where is Talya Bradford located?

Talya Bradford practices at 877 Baltimore Annapolis Blvd Ste 308, Severna Park, MD 21146. The listed phone number is (443) 871-8815.

What is Talya Bradford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Talya Bradford enrolled in Medicare?

No. Talya Bradford has opted out of Medicare through February 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Talya Bradford was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.