MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC) – Mental Health Counselor, NPI 1710610373

MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC) is a healthcare provider. based in Riverside, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 178018121 (IL). The NPI Number for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC) is 1710610373

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)
NPI
1710610373
Phone
(708) 860-7204
Address
269 E QUINCY ST
Enumeration Date
1 July 2022
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4153603348
Graduation Year
2021 (5 years ago)
PAC ID
4789033820
Group Practice PAC ID
3678948809
Professional Enrollment ID
I20260106001371
Address ID
IL606074623CH1440XSTXX457

Contacts

Main Contact
https://www.bricolagewellness.com/mija-bradford-mba-ma-lpc
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:3State licenses:2Other names

2,356 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)

  • 269 E QUINCY ST

    RIVERSIDE, IL 605462174

    Phone: (708) 860-7204

    Type: Mailing

  • 477 E BUTTERFIELD RD STE 212

    LOMBARD, IL 601484879

    Phone: (630) 866-5666

    Fax: (630) 358-6907

    Type: Location

  • 1 MID AMERICA PLZ FL 3

    OAKBROOK TERRACE, IL 601814450

    Phone: (708) 860-7204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260106001371IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678948809View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorAZ
Mental Health CounselorAZ
Mental Health CounselorAZ
Mental Health CounselorIN
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)'s NPI number?
MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)'s NPI is 1710610373 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)?
For scheduling context, MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC) is shown as active in the registry.
What kind of doctor is MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)?
MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)?
Travel planning: use Riverside, Illinois as the reference point for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC), then confirm.
Can I trust this NPI listing for MRS. MARIJOSEPHE PIERRE BRADFORD (LCPC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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