STEPHANIE BRADLEY LPC
NPI 1396137196
Counselor - Professional in Woodstock, GA

Active since March 03, 2015Opted out of Medicare · through Jan 1, 2028
1025 ROSE CREEK DR STE 620-270, WOODSTOCK, GA 30189(404) 907-3868 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2022, Sep 7, 2021 (2 updates tracked since 2021).

About Stephanie Bradley Lpc NPPES

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

STEPHANIE BRADLEY LPC (NPI 1396137196) is an individual professional provider in Woodstock, Georgia, licensed in Georgia (LPC008337) and active in the NPI registry since March 2015. She has opted out of Medicare through January 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396137196
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE BRADLEYCredential: LPC
Location Address1025 ROSE CREEK DR STE 620-270Woodstock, GA 30189-6797
Mailing Address1025 Rose Creek Dr Ste 620-270Woodstock, GA 30189-6797 · (404) 907-3868
Sole ProprietorNo
Enumeration DateMarch 3, 2015
Last NPPES UpdateAugust 27, 20222 updates tracked since enumeration
NPPES CertifiedAugust 27, 2022
NPI 1396137196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in GA · LPC008337 Licensed in VA · 0701006054
1025 ROSE CREEK DR STE 620-270, Woodstock, GA 30189

Secondary Practice Locations 2

Location 1600 Medical DrHampton, VA 23666-1769 · Phone (757) 788-0300 · Fax (757) 788-0969
Location 24255 Wade Green Rd NW Ste 414Kennesaw, GA 30144-1763 · Phone (678) 213-2194 ext. 119

Other Identifiers 2

Medicaid003170682AGA
Medicaid1659424448VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stephanie Bradley Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1025 ROSE CREEK DR STE 620-270
WOODSTOCK, GA 30189

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 Stephanie Bradley's NPI number?

The NPI number for Stephanie Bradley is 1396137196. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Stephanie Bradley located?

Stephanie Bradley practices at 1025 Rose Creek Dr Ste 620-270, Woodstock, GA 30189. The listed phone number is (404) 907-3868.

What is Stephanie Bradley's specialty?

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

Is Stephanie Bradley enrolled in Medicare?

No. Stephanie Bradley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Bradley was last updated on August 27, 2022. 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.