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

BRADLEY MARVIN HEAD LPC
NPI 1417912304
Counselor - Professional in Show Low, AZ

Q: What is Bradley Head's NPI number?

The NPI number for Bradley Head is 1417912304. It was assigned to this individual provider in the NPPES registry on April 20, 2006. The provider is also known as Brad M Head Lpc.

Q: What is Bradley Head's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Head was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.

Active since April 20, 2006

2550 SHOW LOW LAKE ROAD, SHOW LOW, AZ 85901(928) 537-1029(928) 537-9049 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Bradley Marvin Head Lpc NPPES

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

BRADLEY MARVIN HEAD LPC (NPI 1417912304) is an individual professional provider in Show Low, Arizona, licensed in Arizona (LPC0637) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1417912304

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameBRADLEY MARVIN HEADCredential: LPC

Location Address2550 SHOW LOW LAKE ROADShow Low, AZ 85901-7929

Mailing Address2550 Show Low Lake RoadShow Low, AZ 85901-7929 · (928) 537-1029 · Fax (928) 537-9049

Phone(928) 537-1029

Fax(928) 537-9049

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417912304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC0637

2550 SHOW LOW LAKE ROAD, Show Low, AZ 85901

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Other Names 1

Other Name (5)Brad M Head Lpc

Other Identifiers 1

Other742488AZ · Ahcccs

Other Providers at the Same Location NPPES 3

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

DEBORAH L HOAG LISAC MA

Counselor (Addiction (Substance Use Disorder))

2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901

Navajo County (928) 537-1029

COMMUNITY COUNSELING CENTERS INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901

Navajo County (928) 537-1029

CHANGEPOINT INTEGRATED HEALTH

Community Based Residential Treatment Facility, Mental Illness

2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901

Navajo County (928) 532-5838

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 Head's NPI number?

The NPI number for Bradley Head is 1417912304. It was assigned to this individual provider in the NPPES registry on April 20, 2006. The provider is also known as Brad M Head Lpc.

Where is Bradley Head located?

Bradley Head practices at 2550 Show Low Lake Road, Show Low, AZ 85901. The listed phone number is (928) 537-1029.

What is Bradley Head's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley Head was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.