Individual provider Active NPI

David Tyrone Brand Jr., LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1063920155
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102254 Issued in OH
Practice address
6881 Beechmont Ave
Cincinnati, OH 45230-2907
Phone
(513) 231-6630
Fax
(513) 231-3573
NPI assigned
Jan 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1800869 OH
Mental Health Counselor 101YM0800X E.2102254 OH Primary

Addresses

Primary practice location

6881 Beechmont Ave
Cincinnati, OH 45230-2907

Mailing address

3843 Davis Ave
Cincinnati, OH 45211-4834
Phone (513) 546-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.1800869OHMDMental Health Counselor
E.2102254OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beech Acres Parenting Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1063920155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 DAVIS AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114834",
            "telephone_number": "513-546-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302907",
            "telephone_number": "513-231-6630",
            "fax_number": "513-231-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "DAVID",
        "middle_name": "TYRONE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1800869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.