Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRADLEY THOMAS HEIDENBERG LMFT
NPI 1255764627
Marriage & Family Therapist in Clovis, CA

Q: What is Bradley Heidenberg's NPI number?

The NPI number for Bradley Heidenberg is 1255764627. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Q: What is Bradley Heidenberg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 20, 2013PECOS Enrolled

90 W ASHLAN AVE STE 100, CLOVIS, CA 93612(559) 473-1770 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jul 23, 2018 (2 updates tracked since 2018).

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About Bradley Thomas Heidenberg Lmft NPPES

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

BRADLEY THOMAS HEIDENBERG LMFT (NPI 1255764627) is an individual marriage & family therapist in Clovis, California, licensed in California (98495) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255764627

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameBRADLEY THOMAS HEIDENBERGCredential: LMFT

Location Address90 W ASHLAN AVE STE 100Clovis, CA 93612-5627

Mailing AddressPo Box 2087Merced, CA 95344-0087 · (209) 381-6800

Phone(559) 473-1770

Sole ProprietorNo

Enumeration DateAugust 20, 2013

Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1255764627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 98495

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

90 W ASHLAN AVE STE 100, Clovis, CA 93612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Thomas Heidenberg Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

SHAVONA CONSTANCE BROWN

Day Training/Habilitation Specialist