Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NICOLE SUZANNE BRADY
NPI 1265354609
Counselor - Mental Health in Medford, OR

Active since July 28, 2026
3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 816-4131(458) 226-2163 Get Directions Write a Review

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

About Nicole Suzanne Brady NPPES

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

NICOLE SUZANNE BRADY (NPI 1265354609) is an individual mental health provider in Medford, Oregon and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1265354609
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE SUZANNE BRADY
Location Address3200 JUANIPERO WAYMedford, OR 97504-8580
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Fax(458) 226-2163
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1265354609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3200 JUANIPERO WAY, Medford, OR 97504

Other Names 1

Other Name (5)Nicole Star

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.

Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Clinic/Center
3200 JUANIPERO WAY
MEDFORD, OR 97504
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Massage Therapist
3200 JUANIPERO WAY
MEDFORD, OR 97504
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504

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 Nicole Brady's NPI number?

The NPI number for Nicole Brady is 1265354609. It was assigned to this individual provider in the NPPES registry on July 28, 2026. The provider is also known as Nicole Star.

Where is Nicole Brady located?

Nicole Brady practices at 3200 Juanipero Way, Medford, OR 97504. The listed phone number is (541) 816-4131.

What is Nicole Brady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Brady was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.