Derrick Bradley, LPCC-S, LCADC
NPI 1164284550ActiveIndividual· Counselor, Professional· Corbin, KY
Counselor, Professional (LPCC-S, LCADC) in Corbin, Kentucky, licensed in KY, with an NPI issued in January 2024.
Overview
| NPI | 1164284550 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC-S, LCADC |
| Sole proprietor | Yes |
| NPI issued | Jan 30, 2024 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 104136 | KY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 167193 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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