Tabatha Bradley, LAC
NPI 1184468472ActiveIndividual· Counselor, Professional· Wynne, AR
Counselor, Professional (LAC) in Wynne, Arkansas, licensed in AR, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1184468472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC |
| Sole proprietor | Yes |
| NPI issued | Jun 21, 2024 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P2608004 | AR |
| Counselor | 101Y00000X | A2406004 | AR |
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) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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