BRADLEY BASTIAN – Mental Health Counselor, NPI 1790173318

BRADLEY BASTIAN is a healthcare provider. based in Yakima, Washington. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CG60507900 (WA). The NPI Number for BRADLEY BASTIAN is 1790173318

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY BASTIAN
NPI
1790173318
Phone
Not provided
Address
PO BOX 959
Enumeration Date
5 January 2015
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099685086
Graduation Year
2014 (12 years ago)
PAC ID
4688917008
Group Practice PAC ID
3274897665
Professional Enrollment ID
I20190528000660
Address ID
WA989269367EL2109XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for BRADLEY BASTIAN

  • PO BOX 959

    YAKIMA, WA 989070959

    Phone:

    Type: Mailing

  • 220 W 4TH AVE

    ELLENSBURG, WA 989263060

    Phone: (509) 575-4084

    Type: Location

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: 2019-05-28

PECOS data refreshed: 2026-05-27

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
I20190528000660IClinical Social WorkerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour33831$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 98907)

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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: 3274897665View full group profile
NameSpecialtyState
Clinical Social WorkerWA
Mental Health CounselorWA
-WA
Clinical Social WorkerMI
Mental Health CounselorWA
Nurse PractitionerWA
Clinical PsychologistCA
Clinical PsychologistOR
Mental Health CounselorWA
Clinical Social WorkerWA

Reviews

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Frequently asked questions

Can I cross-check BRADLEY BASTIAN using NPI 1790173318?
NPI 1790173318 belongs to BRADLEY BASTIAN; compare other details if you need extra assurance.
Would BRADLEY BASTIAN appear as active to a payer?
You can treat BRADLEY BASTIAN as active for directory purposes; confirm clinical privileges separately.
How would a patient describe BRADLEY BASTIAN's focus?
For BRADLEY BASTIAN, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Washington is BRADLEY BASTIAN registered?
Use Yakima, Washington as the headline location for BRADLEY BASTIAN here.
Can I trust this NPI listing for BRADLEY BASTIAN?
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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