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JON VAN RADER SR. LADC
NPI 1740604008
Counselor - Addiction (Substance Use Disorder) in Brockton, MA

Active since February 06, 2014PECOS Enrolled
425 PLEASANT ST, BROCKTON, MA 02301(508) 272-7561(508) 584-5402 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jon Van Rader Sr. Ladc NPPES

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

JON VAN RADER SR. LADC (NPI 1740604008) is an individual addiction (substance use disorder) provider in Brockton, Massachusetts, licensed in Massachusetts (11760) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740604008
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJON VAN RADER SR.Credential: LADC
Location Address425 PLEASANT STBrockton, MA 02301-2533
Mailing Address425 Pleasant StBrockton, MA 02301-2533 · (508) 272-7561 · Fax (508) 584-5402
Phone(508) 272-7561
Fax(508) 584-5402
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 6, 2014
Last NPPES UpdateAugust 7, 2014
✔ NPI 1740604008 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 MA · 11760
425 PLEASANT ST, Brockton, MA 02301
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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Van Rader Sr. Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496231953
PECOS Enrollment IDI20260114003640
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 Reassignment

Medicare enrollment records show Jon Van Rader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New England Behavioral Health Services Inc
2.4 mi
Addiction (Substance Use Disorder)
1351 MAIN ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1104202415 (508) 857-0239

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

Other Providers at the Same Location NPPES 20

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

EMILY DEPINA
Social Worker (Clinical)
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (508) 580-0364
MS. ANN H JEMISON M.S.; L.M.F.T.
Marriage & Family Therapist
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (781) 385-0549
MS. NANCY LAURIA
Counselor (Addiction (Substance Use Disorder))
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (508) 584-5400
SHANNON LEE WASHBURN CASE MANAGEMENT
Counselor (Mental Health)
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (401) 516-4754
MARIE ROSE MURAT LMHC
Counselor (Mental Health)
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (508) 584-5413
HEALTHY MALE INSTITUTE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (617) 694-7172
MARIA CABRERA
Counselor (Mental Health)
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (508) 580-0363
LEILA CANUTO
Social Worker (Clinical)
425 PLEASANT ST
BROCKTON, MA 02301
Plymouth County (508) 580-0364

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 Jon Van Rader's NPI number?

The NPI number for Jon Van Rader is 1740604008. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Jon Van Rader located?

Jon Van Rader practices at 425 Pleasant St, Brockton, MA 02301. The listed phone number is (508) 272-7561.

What is Jon Van Rader's specialty?

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

Is Jon Van Rader enrolled in Medicare?

Yes. Jon Van Rader is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jon Van Rader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Van Rader reassigns Medicare benefits to New England Behavioral Health Services Inc (Brockton, MA). The 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 Jon Van Rader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Van Rader accept?

Health plans from Anthem Blue Cross and Blue Shield list Jon Van Rader 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 Jon Van Rader was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.