Bradley Jack Beatty, LICDC-CS

Counselor, Addiction (Substance Use Disorder) in Grove City, OH. Individual provider (NPI-1).

NPI number1669872107

StatusActive

Last updated in NPPESSep 3, 2014

Details

NPI: 1669872107
Entity type: Individual (NPI-1)
Name: Mr. Bradley Jack Beatty
Credential: LICDC-CS
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 3, 2014
Last updated: Sep 3, 2014

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	910395	OH	Yes

Practice location

3767 Richard Ave
Grove City, OH 43123-2417

Phone 614-877-2441

Mailing address

3767 Richard Ave
Grove City, OH 43123-2417

Phone 614-877-2441

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Grove City, OH

All 16 Addiction (Substance Use Disorder) Counselor providers in Grove City · All 1,562 providers in Grove City

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