MR. BRADFORD MICHAEL BETHEA LPC / CSAC NPI 1730020850

NPI Information

  • NPI: 1730020850
  • Provider Name: MR. BRADFORD MICHAEL BETHEA, LPC / CSAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6030 HAWKS PERCH LN
    DISPUTANTA, VA
    ZIP 23842
  • Phone: (804) 928-9967

Map and Directions

Get Directions

NPI Details

MR. Bradford Michael Bethea, LPC / CSAC is a mental health counselor in Disputanta, VA. MR. Bradford Michael Bethea, LPC / CSAC NPI is 1730020850. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6030 HAWKS PERCH LN
DISPUTANTA, VA
ZIP 23842-614
Phone: (804) 928-9967

The enumeration date for this NPI number is 4/2/2026 and was last updated on 4/2/2026.

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 Health0701015063VIRGINIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.