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JACKIE FAYE BRADLEY M.ED.
NPI 1871930149
Counselor - Professional in Port Arthur, TX

Active since May 28, 2013
7980 ANCHOR DR BLDG 500, PORT ARTHUR, TX 77642(409) 727-6400(409) 727-6403 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Faye Bradley M.ed. NPPES

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

JACKIE FAYE BRADLEY M.ED. (NPI 1871930149) is an individual professional provider in Port Arthur, Texas, licensed in Texas (70692) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1871930149
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE FAYE BRADLEYCredential: M.ED.
Location Address7980 ANCHOR DR BLDG 500Port Arthur, TX 77642-8285
Mailing Address7980 Anchor Dr Bldg 500Port Arthur, TX 77642-8285 · (409) 727-6400 · Fax (409) 727-6403
Phone(409) 727-6400
Fax(409) 727-6403
Sole ProprietorNo
Enumeration DateMay 28, 2013
✔ NPI 1871930149 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 TX · 70692
7980 ANCHOR DR BLDG 500, Port Arthur, TX 77642
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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.

MRS. MELINDA PHILEN KING M.ED.
Counselor (Professional)
7980 ANCHOR DR BLDG 500
PORT ARTHUR, TX 77642
Jefferson County (409) 727-6400
SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS
Counselor
7980 ANCHOR DR BLDG 500
PORT ARTHUR, TX 77642
Jefferson County (409) 727-6400
MR. PAUL DEAN ALEXANDER M.S., LPC
Counselor (Professional)
7980 ANCHOR DR BLDG 500
PORT ARTHUR, TX 77642
Jefferson County (409) 727-6400

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 Jackie Bradley's NPI number?

The NPI number for Jackie Bradley is 1871930149. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Jackie Bradley located?

Jackie Bradley practices at 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642. The listed phone number is (409) 727-6400.

What is Jackie Bradley's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackie Bradley was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.