JESSE M BRADBERRY LPCC
NPI 1770148629
Counselor - Professional in Louisville, KY

Active since May 07, 2019PECOS EnrolledAccepts Medicare Assignment
3027 PRESTON HWY, LOUISVILLE, KY 40217(502) 653-7211(502) 416-0723 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2026, Aug 10, 2022, May 7, 2019 (3 updates tracked since 2019).

About Jesse M Bradberry Lpcc NPPES

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

JESSE M BRADBERRY LPCC (NPI 1770148629) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (247680) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770148629
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESSE M BRADBERRYCredential: LPCC
Location Address3027 PRESTON HWYLouisville, KY 40217-1716
Mailing Address130 Fairfax Ave Ste LlcLouisville, KY 40207-4939 · (502) 653-7211 · Fax (502) 416-0723
Fax(502) 416-0723
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 7, 2019
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1770148629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 247680
3027 PRESTON HWY, Louisville, KY 40217

Secondary Practice Location 1

Location 1130 Fairfax Ave Ste LlcLouisville, KY 40207-4939 · Phone (502) 653-7211 · Fax (502) 416-0723

Other Identifiers 1

Medicaid7100593740KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse M Bradberry Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587196670
PECOS Enrollment IDI20241014004388
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.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
3027 PRESTON HWY
LOUISVILLE, KY 40217
Counselor (Professional)
3027 PRESTON HWY
LOUISVILLE, KY 40217
Counselor (Professional)
3027 PRESTON HWY
LOUISVILLE, KY 40217

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 Jesse Bradberry's NPI number?

The NPI number for Jesse Bradberry is 1770148629. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Jesse Bradberry located?

Jesse Bradberry practices at 3027 Preston Hwy, Louisville, KY 40217. The listed phone number is (502) 653-7211.

What is Jesse Bradberry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jesse Bradberry enrolled in Medicare?

Yes. Jesse Bradberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jesse Bradberry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Jesse Bradberry 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 Jesse Bradberry was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.