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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSHUA ALLEN BRADSHAW
NPI 1972120087
Counselor - Mental Health in Bridgeview, IL

Active since July 06, 2020Opted out of Medicare · through Oct 28, 2027
8104 ODELL AVE, BRIDGEVIEW, IL 60455(951) 415-2895 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, Jul 6, 2020 (2 updates tracked since 2020).

About Joshua Allen Bradshaw NPPES

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

JOSHUA ALLEN BRADSHAW (NPI 1972120087) is an individual mental health provider in Bridgeview, Illinois and active in the NPI registry since July 2020. He has opted out of Medicare through October 28, 2027 and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1972120087
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSHUA ALLEN BRADSHAW
Location Address8104 ODELL AVEBridgeview, IL 60455-1622
Mailing Address8104 Odell AveBridgeview, IL 60455-1622 · (951) 415-2895
Phone(951) 415-2895
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1972120087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8104 ODELL AVE, Bridgeview, IL 60455
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Secondary Practice Location 1

Location 12923 NE Broadway StPortland, OR 97232-1760 · Phone (503) 941-0856

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joshua Allen Bradshaw 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 October 28, 2025 through October 28, 2027.

Opt-Out Effective DateOctober 28, 2025
Opt-Out In Effect ThroughOctober 28, 2027Opt-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 Joshua Bradshaw's NPI number?

The NPI number for Joshua Bradshaw is 1972120087. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Joshua Bradshaw located?

Joshua Bradshaw practices at 8104 Odell Ave, Bridgeview, IL 60455. The listed phone number is (951) 415-2895.

What is Joshua Bradshaw's specialty?

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

Is Joshua Bradshaw enrolled in Medicare?

No. Joshua Bradshaw has opted out of Medicare through October 28, 2027. 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 Joshua Bradshaw was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.