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BRADLEY KECK CDCA, CPRS
NPI 1215401302
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since January 11, 2019
100 ELMWOOD PARK DR, DAYTON, OH 45449(937) 384-0580(937) 384-0581 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Jan 11, 2019 (2 updates tracked since 2019).

About Bradley Keck Cdca, Cprs NPPES

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

BRADLEY KECK CDCA, CPRS (NPI 1215401302) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.188574) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1215401302
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRADLEY KECKCredential: CDCA, CPRS
Location Address100 ELMWOOD PARK DRDayton, OH 45449-5402
Mailing Address100 Elmwood Park DrDayton, OH 45449-5402 · (937) 384-0580 · Fax (937) 384-0581
Phone(937) 384-0580
Fax(937) 384-0581
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1215401302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.188574
Also ListedPeer SpecialistTaxonomy 175T00000X
100 ELMWOOD PARK DR, Dayton, OH 45449
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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.

MRS. RACHEL EBERLY LSW, LCDC II
Social Worker
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
NICHOLE LYNN MOORE LPN
Licensed Practical Nurse
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 247-9015
DR. MICHAEL L MANCHESTER D.D.S.
Dentist (General Practice)
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 859-5133
TAMIKA LYNN DOAKES CDCA
Case Manager/Care Coordinator
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
MICHELLE BEATRICE BAKER
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 384-0580
MS. JOHNA MARIE WHITFIELD LCDCII
Case Manager/Care Coordinator
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 384-0580
ANTHONY GOLDSBERRY CDCA
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
BAILEY KRYNZEL CDCA
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580

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 Bradley Keck's NPI number?

The NPI number for Bradley Keck is 1215401302. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Bradley Keck located?

Bradley Keck practices at 100 Elmwood Park Dr, Dayton, OH 45449. The listed phone number is (937) 384-0580.

What is Bradley Keck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bradley Keck was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.