Active NPI
Sierra Brianne Carroll
- Professional Counselor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 95895
- Practice address
- 17215 N 72ND Dr
Glendale, AZ 85308-8558 - Phone
- (623) 533-4912
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 95895 | TX | Primary |
Addresses
Primary practice location
17215 N 72ND Dr
Glendale, AZ 85308-8558
Mailing address
3646 W Wethersfield Rd
Phoenix, AZ 85029-2126
Phone (903) 348-0813
Other names 1
- Sierra Brianne Tucker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Counselor | Current | Accepting new patients |
Locations
9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
1816 Tile Factory Rd
Palestine, TX 75803
Phone (903) 723-0950
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1093254237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 W WETHERSFIELD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850292126",
"telephone_number": "903-348-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17215 N 72ND DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088558",
"telephone_number": "623-533-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "SIERRA",
"middle_name": "BRIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIERRA",
"last_name": "TUCKER",
"middle_name": "BRIANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.