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BRADLEY J SPOON LCPC
NPI 1750849543
Counselor - Mental Health in Pasadena, MD

Active since March 11, 2019Opted out of Medicare · through May 27, 2028
8028 RITCHIE HIGHWAY ST. 312, PASADENA, MD 21122(410) 590-9011 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley J Spoon Lcpc NPPES

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

BRADLEY J SPOON LCPC (NPI 1750849543) is an individual mental health provider in Pasadena, Maryland, licensed in Maryland (LC7195) and active in the NPI registry since March 2019. He has opted out of Medicare through May 27, 2028.

NPPES Registry Identity

NPI1750849543
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRADLEY J SPOONCredential: LCPC
Location Address8028 RITCHIE HIGHWAY ST. 312Pasadena, MD 21122
Mailing Address8028 Ritchie Highway St. 312Pasadena, MD 21122 · (410) 590-9011
Phone(410) 590-9011
Sole ProprietorNo
Enumeration DateMarch 11, 2019
✔ NPI 1750849543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC7195
8028 RITCHIE HIGHWAY ST. 312, Pasadena, MD 21122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradley J Spoon Lcpc 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 May 27, 2024 through May 27, 2028.

Opt-Out Effective DateMay 27, 2024
Opt-Out In Effect ThroughMay 27, 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 Bradley Spoon's NPI number?

The NPI number for Bradley Spoon is 1750849543. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Bradley Spoon located?

Bradley Spoon practices at 8028 Ritchie Highway St. 312, Pasadena, MD 21122. The listed phone number is (410) 590-9011.

What is Bradley Spoon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bradley Spoon enrolled in Medicare?

No. Bradley Spoon has opted out of Medicare through May 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bradley Spoon was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.