Aracelis Johanna Lu Brea, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24971 Issued in MS

Practice address

111 S Spring St
Tupelo, MS 38804-4817

Phone

(662) 432-1221

Fax

(662) 432-0699

NPI assigned

Nov 4, 2010

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RH Arise Venture of Tupelo LLCGroup PAC ID 2567840309, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• RH Arise Venture of Tupelo LLC

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1124776067
  Medicare reassignment Care Compare group NPD
• Right Track Medical Group, Inc

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1972080257
  Medicare reassignment NPD
• Arise Hernando, LLC

  • Psychiatry Physician
  • Hernando, MS
  • NPI 1124709993
  NPD

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1164723318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044817",
            "telephone_number": "662-432-1221",
            "fax_number": "662-432-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044817",
            "telephone_number": "662-432-1221",
            "fax_number": "662-432-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU BREA",
        "first_name": "ARACELIS",
        "middle_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "24971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nichole Lowe
• Hester Mobley Lowe
• Angela Marie Lowery, MSW, LSW, PCMHT
• LTC Pharmacy Solutions LLC (LTC Pharmacy Solutions)
• LTC Therapy Solutions, LLC (Reconnect Therapy)
• Tamar Jones Lucas, PMHNP
• Julia Lucius, RD
• Luxottica of America Inc. (LensCrafters #745)
• Luxottica Retail North America Inc (Sears Optical #C0858)
• Anna Claire Lyle

• Psychiatry Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.