Active NPI
Jane Ann Brandt, M.A, LPCC
- Counselor
- Tijeras, NM
National Provider Identifier
1124324454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0085211
- Practice address
- 21 Holiday Dr
Tijeras, NM 87059-7838 - Phone
- (505) 239-3555
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0085211 | NM | Primary |
Addresses
Primary practice location
21 Holiday Dr
Tijeras, NM 87059-7838
Mailing address
21 Holiday Dr.
Tijeras, NM 87059-7838
Phone (505) 239-3555
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0085211 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1124324454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLIDAY DR.",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870597838",
"telephone_number": "505-239-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HOLIDAY DR",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870597838",
"telephone_number": "505-239-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "JANE",
"middle_name": "ANN",
"credential": "M.A, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0085211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tijeras, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.