Individual provider Active NPI

Brandi Lynn Huylebroeck, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1194437574
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015129 Issued in PA
Practice address
635 E Broad St
Bethlehem, PA 18018-6332
Phone
(484) 408-0755
Fax
(484) 408-0756
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 PC015129 PA Primary

Addresses

Primary practice location

635 E Broad St
Bethlehem, PA 18018-6332

Mailing address

14 Midland Dr
Easton, PA 18045-3154
Phone (610) 955-2730

Other practice location 1

1101 Northampton St Ste 102
Easton, PA 18042-4152
Phone (484) 544-3113 ext. 2233

Other names 1

  • Brandi Lynn Moyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240229002333 PA Practitioner - Mental Health Counselor 5193176352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Centers of the Lehigh ValleyGroup PAC ID 2961537352, 8 clinicians

Practice addresses (Care Compare)

635 E Broad St
Bethlehem, PA 18018-6332
Phone (610) 984-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015129PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jan 27, 2024 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jan 27, 2024 Accepting new patients

Locations

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1101 Northampton St
Ste 102
Easton, PA 18042
Phone (484) 544-3113

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1194437574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MIDLAND DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180453154",
            "telephone_number": "610-955-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "484-408-0755",
            "fax_number": "484-408-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Northampton St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180424152",
            "country_code": "US",
            "telephone_number": "484-544-3113 x2233",
            "fax_number": "484-544-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYLEBROECK",
        "first_name": "BRANDI",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "MOYER",
            "middle_name": "LYNN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.