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MS. ANITRA LYNETTE BRADFORD LAC
NPI 1124218177
Counselor - Mental Health in Magnolia, AR

Active since July 26, 2007PECOS Enrolled
621 E NORTH ST, MAGNOLIA, AR 71753(870) 234-0739 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Apr 1, 2026, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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

NPI1124218177
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANITRA LYNETTE BRADFORDCredential: LAC
Location Address621 E NORTH STMagnolia, AR 71753-3120
Mailing Address1600 Aldersgate Rd Ste 200Little Rock, AR 72205-6676 · (501) 661-0720
Phone(870) 234-0739
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 26, 2007
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1124218177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in TX · 89794✔ Licensed in AR · A0710078
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License P1012084 (AR), TEL1092 (LA), 89794 (TX)
621 E NORTH ST, Magnolia, AR 71753
Open in Google Maps ↗

Secondary Practice Location 1

Location 1728 W MonroeMagnolia, AR 71753-3459 · Phone (870) 234-2705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Anitra Lynette Bradford Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860938032
PECOS Enrollment IDI20260427001797
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

BRIANNA SCHULZ
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
JOHNNY KNIGHTEN
Counselor (Professional)
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
TONI MARIE HAGINS
Counselor (Professional)
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
CANDACE SANDERS
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
SHURON WITCHER
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
SHARON MCMULLAN
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
JENSYN BELIN
Social Worker
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739
CORBAN WOOD
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Columbia County (870) 234-0739

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 enrollment system.

What insurance does Anitra Bradford accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 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 3 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.