Active NPI
Brian Nathan Sillanpaa
- Mental Health Counselor
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156 - Phone
- (480) 525-0058
- NPI assigned
- Jul 13, 2016
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156
Mailing address
4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156
Phone (480) 525-0058
Other practice location 1
2131 E Broadway Rd Ste 1
Tempe, AZ 85282-1737
Phone (480) 525-0058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2024 through Jan 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Behavioral North LLC | Mental Health | Current | Accepting new patients |
| Breakthrough Behavioral Health | Current | Accepting new patients |
Locations
2131 E Broadway Rd
Ste 1
Tempe, AZ 85282
Phone (480) 525-0058
4801 S Lakeshore Dr
Ste 106
Tempe, AZ 85282
Phone (480) 525-0058
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tempe, AZ
- NPI 1790309896
-
- Mental Health Counselor
- Tempe, AZ
- NPI 1780418855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1164875241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S LAKESHORE DR STE 106",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827156",
"telephone_number": "480-525-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S LAKESHORE DR STE 106",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827156",
"telephone_number": "480-525-0058"
}
],
"practiceLocations": [
{
"address_1": "2131 E Broadway Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852821737",
"country_code": "US",
"telephone_number": "480-525-0058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILLANPAA",
"first_name": "BRIAN",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.