Organization Active NPI

Brothers United Against Domestic Violence

  • Professional Counselor
  • Buckeye, AZ
National Provider Identifier
1205525979
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BROTHERS UNITED AGAINST DOMESTIC VIOLENCE
Practice address
726 E. Monroe Ave. Suite B
Buckeye, AZ 85326
Phone
(602) 690-1643
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Dr. Rodney Lacerial Pearson, LPCNPI 1467962811
Title
President/Ceo
Phone
(602) 690-1643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

726 E. Monroe Ave. Suite B
Buckeye, AZ 85326

Mailing address

14324 W. Desert Flower Dr.
Goodyear, AZ 85395
Phone (602) 690-1643

Other names 1

  • Brothers United Against Domestic Violence Doing business as

National Provider Directory

National Provider Directory

Locations

726 E Monroe Ave
Ste B
Buckeye, AZ 85326
Phone (602) 690-1643

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1205525979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14324 W. DESERT FLOWER DR.",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "602-690-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E. MONROE AVE. SUITE B",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "602-690-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS UNITED AGAINST DOMESTIC VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LACERIAL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-690-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brothers United Against Domestic Violence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.