BRADFORD STEPHEN DIEMER LPCC
NPI 1770090458
Counselor - Mental Health in Boardman, OH
About Bradford Stephen Diemer Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADFORD STEPHEN DIEMER LPCC (NPI 1770090458) is an individual mental health provider in Boardman, Ohio, licensed in Ohio (E.2203198) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradford Stephen Diemer Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bradford Diemer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boardman, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 15 clinicians in this Medicare group
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.
BOARDMAN, OH 44512
BOARDMAN, OH 44512
YOUNGSTOWN, OH 44512
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 Diemer's NPI number?
The NPI number for Bradford Diemer is 1770090458. It was assigned to this individual provider in the NPPES registry on January 4, 2018.
Where is Bradford Diemer located?
Bradford Diemer practices at 8261 Market St, Boardman, OH 44512. The listed phone number is (330) 286-0050.
What is Bradford Diemer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bradford Diemer enrolled in Medicare?
Yes. Bradford Diemer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bradford Diemer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradford Diemer reassigns Medicare benefits to Travco Behavioral Health, Inc. (Boardman, OH). 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 Bradford Diemer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradford Diemer accept?
Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Bradford Diemer 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 Diemer was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bradford Stephen Diemer, LPCC · NPI 1770090458
Mental Health provider in Boardman, Ohio. Individual provider, active in the CMS NPPES registry since January 4, 2018.
## Identity
- **NPI:** 1770090458 (Entity type: Individual)
- **Enumerated:** January 4, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E.2203198 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 8261 MARKET ST, Boardman, OH 44512-6254
- **Phone:** (330) 286-0050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Travco Behavioral Health, Inc. (NPI 1124086616, Boardman, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770090458) · Data from the CMS NPPES public registry.