KAILEY BRADLEY
NPI 1962864348
Community Based Residential Treatment Facility, Mental Illness in Ashland, OH

Q: What is Kailey Bradley's NPI number?

The NPI number for Kailey Bradley is 1962864348. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Kailey Bradley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Kailey Bradley was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 24, 2016PECOS Enrolled

80 SAMARITAN AVE APT 1, ASHLAND, OH 44805(419) 589-5511 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kailey Bradley NPPES

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

KAILEY BRADLEY (NPI 1962864348) is an individual community based residential treatment facility, mental illness provider in Ashland, Ohio, licensed in Ohio (C1400418) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962864348

Entity TypeIndividualFemale

Primary Taxonomy320800000X

Provider Legal NameKAILEY BRADLEY

Location Address80 SAMARITAN AVE APT 1Ashland, OH 44805-3924

Mailing Address80 Samaritan Ave Apt 1Ashland, OH 44805-3924 · (419) 589-5511

Phone(419) 589-5511

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 24, 2016

✔ NPI 1962864348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in OH · C1400418

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

80 SAMARITAN AVE APT 1, Ashland, OH 44805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kailey Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456796671

PECOS Enrollment IDI20240228000285

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 Kailey Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Refuge Counseling, LLC

0.7 mi

Mental Health

1060 CLAREMONT AVE STE 6
Ashland, OH 44805

Reassigned Medicare billing, Ohio enrollment
7 clinicians in this Medicare group

NPI 1508463597 (419) 922-9696

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

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 Kailey Bradley's NPI number?

The NPI number for Kailey Bradley is 1962864348. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Kailey Bradley located?

Kailey Bradley practices at 80 Samaritan Ave Apt 1, Ashland, OH 44805. The listed phone number is (419) 589-5511.

What is Kailey Bradley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Kailey Bradley enrolled in Medicare?

Yes. Kailey Bradley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kailey Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailey Bradley reassigns Medicare benefits to Refuge Counseling, LLC (Ashland, 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 Kailey Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kailey Bradley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Kailey Bradley 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 Kailey Bradley was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.