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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Bradley Shelton was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 10, 2024PECOS Enrolled

83 POND LN, BAXTER, KY 40806(606) 273-9874 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

On this page

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 Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Bradley Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spero Health Of Kentucky, LLC

100 mi

Addiction Medicine

106 BELINDA BLVD STE 100
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
115 clinicians in this Medicare group

NPI 1982102109 (866) 755-4258

Isaiah House, Inc.

120 mi

Substance Abuse Rehabilitation Facility

2084 MAIN ST
Willisburg, KY 40078

Reassigned Medicare billing, Kentucky enrollment
72 clinicians in this Medicare group

NPI 1396086559 (859) 375-9200

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

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.

Which organizations bill Medicare for Bradley Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Shelton reassigns Medicare benefits to 2 organizations: Spero Health Of Kentucky, LLC (Danville, KY) and Isaiah House, Inc. (Willisburg, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Shelton accept?

Health plans from Anthem Blue Cross and Blue Shield and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.