Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse M Bradberry, LPCC

Individual provider Professional Counselor · NPI 1770148629

Jesse M Bradberry, LPCC is a Mental Health Counselor in Louisville, Kentucky. Qualified in 2016, 10 years ago. Practices with Renew Counseling LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2019
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3027 Preston Hwy
Louisville, KY 40217-1716
Phone: (502) 653-7211
Fax: (502) 416-0723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Fairfax Ave Ste Llc, Louisville, KY 40207-4939 — (502) 653-7211

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 247680 (KY)

Record details

NPI number1770148629
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Renew Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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