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

Mr. Bradley R Taylor Sr.

Individual provider Mental Health Counselor · NPI 1609363126

Mr. Bradley R Taylor Sr. is a Mental Health Counselor in Virginia Beach, Virginia. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
11
Licensed in
FL, VA
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

4460 Corporation Ln Ste 300
Virginia Beach, VA 23462-3150
Phone: (757) 376-8167
Fax: (757) 452-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701007601 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH22237 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710102138 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0718000469 (VA)

Record details

NPI number1609363126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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