Individual provider Active NPI

Rebecca D Branstetter, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1164085338
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17967 Issued in AZ
Practice address
1219 E Minton Dr
Tempe, AZ 85282-7132
Phone
(928) 595-0270
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17967 AZ Primary

Addresses

Primary practice location

1219 E Minton Dr
Tempe, AZ 85282-7132

Mailing address

1219 E Minton Dr
Tempe, AZ 85282-7132
Phone (928) 595-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508003857 AZ Practitioner - Mental Health Counselor 8921449984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17967AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children'S Service of Southern Arizona, Inc CurrentSince Mar 16, 2024 Accepting new patients
Rebran Counseling LLC Professional CurrentSince Dec 15, 2024 Accepting new patients

Locations

4301 E 5th St
Tucson, AZ 85711
Phone (520) 795-0300

Organizations & group practices 2

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1164085338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E MINTON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827132",
            "telephone_number": "928-595-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E MINTON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827132",
            "telephone_number": "928-595-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSTETTER",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.