BRADLEY J DEXTER LPC NPI 1629713433

NPI Information

  • NPI: 1629713433
  • Provider Name: BRADLEY J DEXTER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5650 N GREEN BAY AVE STE 205
    GLENDALE, WI
    ZIP 53209
  • Phone: (773) 425-8823

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NPI Details

Bradley J Dexter, LPC is a professional counselor in Glendale, WI with 22 years of experience. Bradley J Dexter, LPC NPI is 1629713433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5650 N GREEN BAY AVE STE 205
GLENDALE, WI
ZIP 53209-446
Phone: (773) 425-8823

The NPI 1629713433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health10833-125WISCONSINNo
2101YP2500XCounselorProfessional10833-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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