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MR. DERRICK BRADLEY LPCC-S, LCADC
NPI 1164284550
Counselor - Professional in Corbin, KY

Active since January 30, 2024
3265 HIGHWAY 26, CORBIN, KY 40701(606) 555-1212 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Derrick Bradley Lpcc-s, Lcadc NPPES

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

MR. DERRICK BRADLEY LPCC-S, LCADC (NPI 1164284550) is an individual professional provider in Corbin, Kentucky, licensed in Kentucky (104136) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1164284550
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DERRICK BRADLEYCredential: LPCC-S, LCADC
Location Address3265 HIGHWAY 26Corbin, KY 40701-9047
Mailing Address3265 Highway 26 Ste CCorbin, KY 40701-9047 · (606) 219-8130
Phone(606) 555-1212
Sole ProprietorYes
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1164284550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 104136
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 167193 (KY)
3265 HIGHWAY 26, Corbin, KY 40701
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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 Derrick Bradley's NPI number?

The NPI number for Derrick Bradley is 1164284550. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Derrick Bradley located?

Derrick Bradley practices at 3265 Highway 26, Corbin, KY 40701. The listed phone number is (606) 555-1212.

What is Derrick Bradley's specialty?

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

When was this NPI record last updated?

The NPPES record for Derrick Bradley was last updated on January 30, 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.