MS. ANITRA LYNETTE BRADFORD LAC
NPI 1124218177
Counselor - Mental Health in Magnolia, AR
About Ms. Anitra Lynette Bradford Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANITRA LYNETTE BRADFORD LAC (NPI 1124218177) is an individual mental health provider in Magnolia, Arkansas, licensed in Texas (89794) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Magnolia, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Anitra Lynette Bradford Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Anitra Bradford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 284 clinicians in this Medicare group
Baytown, TX 77520
- Reassigned Medicare billing, Arkansas enrollment
- 17 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Arkansas enrollment
- 23 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Arkansas enrollment
- 22 clinicians in this Medicare group
- Reassigned Medicare billing, Arkansas enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anitra Bradford's NPI number?
The NPI number for Anitra Bradford is 1124218177. It was assigned to this individual provider in the NPPES registry on July 26, 2007.
Where is Anitra Bradford located?
Anitra Bradford practices at 621 E North St, Magnolia, AR 71753. The listed phone number is (870) 234-0739.
What is Anitra Bradford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Anitra Bradford enrolled in Medicare?
Yes. Anitra Bradford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anitra Bradford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anitra Bradford reassigns Medicare benefits to 5 organizations: Texas Health Virtual Care (Dallas, TX), Cs Pacs 3 Southwest, LLC (Baytown, TX), Ipc Pac Healthcare Services Of Missouri Inc (Sikeston, MO), Nv Pacs 2 LLC (Las Vegas, NV) and Cornerstone Counseling Clinic, Inc. (AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anitra Bradford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anitra Bradford accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Anitra Bradford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Anitra Bradford was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Ms. Anitra Lynette Bradford, LAC · NPI 1124218177
Mental Health provider in Magnolia, Arkansas. Individual provider, active in the CMS NPPES registry since July 26, 2007.
## Identity
- **NPI:** 1124218177 (Entity type: Individual)
- **Enumerated:** July 26, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 89794 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 E NORTH ST, Magnolia, AR 71753-3120
- **Phone:** (870) 234-0739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Texas Health Virtual Care (NPI 1942951199, Dallas, TX); Cs Pacs 3 Southwest, LLC (NPI 1275398430, Baytown, TX); Ipc Pac Healthcare Services Of Missouri Inc (NPI 1326497587, Sikeston, MO); Nv Pacs 2 LLC (NPI 1427534809, Las Vegas, NV); Cornerstone Counseling Clinic, Inc. (AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124218177) · Data from the CMS NPPES public registry.