Brenda Lee Neeley, LMSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11428 Issued in AZ

Practice address

13100 S. Sunland Gin Road
Arizona City, AZ 85123-4872

Phone

(520) 413-2750

Fax

(520) 466-5266

NPI assigned

Jul 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Partners Integrated Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1659674984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1063828663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4872",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851232730",
            "telephone_number": "520-413-2750",
            "fax_number": "520-466-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 S. SUNLAND GIN ROAD",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851234872",
            "telephone_number": "520-413-2750",
            "fax_number": "520-466-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11428",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile & Virtual Healthcare LLC
• Petra Rosa Mojica
• Sue A Moler, PSYD
• Gilbert Joseph Montano, FNP-BC
• Cecilia Araceli Munoz, NP
• Kenneth Nembu, PMHNP
• Steven Ong
• Annabel Owusu
• Park Place Outreach & Counseling Centers, Inc.
• Park Place Outreach and Counseling Centers Inc

• Addiction (Substance Use Disorder) Counselor in Arizona City, AZ
• Providers in Arizona City, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.