Individual provider Active NPI

Mark Branson, LPC

  • Mental Health Counselor
  • Prescott, AZ
National Provider Identifier
1215319389
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone
(928) 583-1000
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC14566 AZ
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1090 Commerce Dr
Prescott, AZ 86305-3700

Mailing address

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

Other practice location 1

3212 N Windsong Dr Fl 2
Prescott Valley, AZ 86314-2255
Phone (928) 583-1000

Other practice location 2

51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610
Phone (928) 639-8132

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
I20250513003368 AZ Practitioner - Mental Health Counselor 0648798728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of YavapaiGroup PAC ID 8921919499, 20 clinicians

Practice addresses (Care Compare)

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC14566AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yavapai CurrentSince Apr 28, 2025 Accepting new patients
County of Yavapai Current Accepting new patients
County of Yavapai CurrentSince Apr 28, 2025 Accepting new patients
County of Yavapai Current Accepting new patients
County of Yavapai Past Accepting new patients

Locations

51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326
Phone (928) 639-8132

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

3212 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 583-1000

3212 N Windsong Dr
Fl 2
Prescott Valley, AZ 86314
Phone (928) 583-1000

Interoperability endpoints

  • Direct secure messaging: mark.branson.p1@direct.ycchs.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1215319389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 N Windsong Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Brian Mickelsen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863263610",
            "country_code": "US",
            "telephone_number": "928-639-8132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC14566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.