1. Home
  2. Directory
  3. Kentucky
  4. Baxter
  5. Counselor
  6. NPI Profile

MR. BRADLEY WAYNE SHELTON LCADC
NPI 1639922487
Counselor - Addiction (Substance Use Disorder) in Baxter, KY

Active since April 10, 2024PECOS Enrolled

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, May 13, 2024, Apr 10, 2024 (3 updates tracked since 2024).

About Mr. Bradley Wayne Shelton Lcadc NPPES

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

MR. BRADLEY WAYNE SHELTON LCADC (NPI 1639922487) is an individual addiction (substance use disorder) provider in Baxter, Kentucky, licensed in Kentucky (290092) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639922487
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRADLEY WAYNE SHELTONCredential: LCADC
Location Address83 POND LNBaxter, KY 40806-8313
Mailing Address83 Pond LnBaxter, KY 40806-8313 · (606) 273-9874
Phone(606) 273-9874
Sole ProprietorYes
Enumeration DateApril 10, 2024
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1639922487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 290092
83 POND LN, Baxter, KY 40806
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bradley Wayne Shelton Lcadc 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.

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 Shelton's NPI number?

The NPI number for Bradley Shelton is 1639922487. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Bradley Shelton located?

Bradley Shelton practices at 83 Pond Ln, Baxter, KY 40806. The listed phone number is (606) 273-9874.

What is Bradley Shelton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Bradley Shelton enrolled in Medicare?

Yes. Bradley Shelton is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Shelton accept?

Health plans from CareSource list Bradley Shelton 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 Bradley Shelton was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.