BRADFORD STUCKI PH.D., LMFT
NPI 1558019588
Marriage & Family Therapist in Provo, UT

Q: What is Bradford Stucki's NPI number?

The NPI number for Bradford Stucki is 1558019588. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Q: What is Bradford Stucki's specialty?

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

Q: Is Bradford Stucki enrolled in Medicare?

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

Q: When was this NPI record last updated?

The NPPES record for Bradford Stucki was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 March 18, 2022Opted out of Medicare · through Mar 1, 2028

2520 N UNIVERSITY AVE STE 202, PROVO, UT 84604(801) 477-6823 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 6, 2025, Dec 7, 2023 (2 updates tracked since 2023).

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About Bradford Stucki Ph.d., Lmft NPPES

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

BRADFORD STUCKI PH.D., LMFT (NPI 1558019588) is an individual marriage & family therapist in Provo, Utah, licensed in Utah (12737565-3902) and active in the NPI registry since March 2022. He has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1558019588

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameBRADFORD STUCKICredential: PH.D., LMFT

Location Address2520 N UNIVERSITY AVE STE 202Provo, UT 84604-3857

Mailing Address2520 N University Ave Ste 202Provo, UT 84604-3857 · (801) 477-6823

Phone(801) 477-6823

Sole ProprietorNo

Enumeration DateMarch 18, 2022

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1558019588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in UT · 12737565-3902✔ Licensed in VA · 0717001902

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.

2520 N UNIVERSITY AVE STE 202, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Bradford Stucki Ph.d., Lmft 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 March 1, 2024 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2024

Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bradford Stucki's NPI number?

The NPI number for Bradford Stucki is 1558019588. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Bradford Stucki located?

Bradford Stucki practices at 2520 N University Ave Ste 202, Provo, UT 84604. The listed phone number is (801) 477-6823.

What is Bradford Stucki's specialty?

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

Is Bradford Stucki enrolled in Medicare?

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

What insurance does Bradford Stucki accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and UnitedHealthcare list Bradford Stucki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradford Stucki was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.