BRADLEY JAY MYERS
NPI 1306367479
Counselor in Wasilla, AK

Q: What is Bradley Myers's NPI number?

The NPI number for Bradley Myers is 1306367479. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Bradley Myers's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Myers was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 29, 2017PECOS Enrolled

1363 W SPRUCE AVE, WASILLA, AK 99654(073) 762-4119(073) 523-3639 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 22, 2023, Jul 30, 2021, Jun 29, 2017 (3 updates tracked since 2017).

On this page

About Bradley Jay Myers NPPES

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

BRADLEY JAY MYERS (NPI 1306367479) is an individual counselor in Wasilla, Alaska and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306367479

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBRADLEY JAY MYERS

Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327

Mailing Address1363 W Spruce AveWasilla, AK 99654-5327 · (907) 352-3222

Phone(073) 762-4119

Fax(073) 523-3639

Sole ProprietorNo

Enumeration DateJune 29, 2017

Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1306367479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1363 W SPRUCE AVE, Wasilla, AK 99654

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13261 S Big Lake RdBig Lake, AK 99623-9663 · Phone (907) 376-2411 · Fax (907) 352-3363

Location 2425 E Dahlia Ave Ste MPalmer, AK 99645-6463 · Phone (907) 376-2411 · Fax (907) 352-3363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Jay Myers 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.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Myers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mat - Su Health Services Inc.

0.1 mi

Mental Health (Including Community Mental Health Center)

1363 W SPRUCE AVE
Wasilla, AK 99654

Reassigned Medicare billing, Alaska enrollment
33 clinicians in this Medicare group

NPI 1184725210 (907) 376-2411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PARIS TAYLOR LCSW-C

Counselor (Mental Health)