National Provider Identifier

Bradford Lin

Bradford Lin is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 413-8398.

NPI 1134090145Rochester, NYCounselor

Profile Overview

NPI
1134090145
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 15, 2025
Last Updated
September 15, 2025

Practice Location

  • 274 Lysander Dr
  • Rochester, NY 14623-4153

Phone: (585) 413-8398

Specialties

  • Counselor (101Y00000X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Mental Health Counselor (101YM0800X)
  • School Counselor (101YS0200X)
Full Record
NPI
1134090145
Entity Type
Individual
Last Name
Lin
First Name
Bradford
Provider Other Last Name
Lin
Provider Other First Name
Brady
Provider Other Last Name Type Code
5
Mailing Street Address
274 Lysander Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4153
Mailing Country
US
Mailing Phone
(585) 413-8398
Practice Street Address
274 Lysander Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4153
Practice Country
US
Practice Phone
(585) 413-8398
Enumeration Date
September 15, 2025
Last Updated
September 15, 2025
Sex
X
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
Certification Date
September 14, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X), Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X), School Counselor (101YS0200X)