Individual provider Active NPI

Brandon Jopek

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1255006565
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0219551 Issued in NM
Practice address
1740 Grande Blvd SE
Rio Rancho, NM 87124-1799
Phone
(505) 979-0715
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0219551 NM Primary

Addresses

Primary practice location

1740 Grande Blvd SE
Rio Rancho, NM 87124-1799

Mailing address

1740 Grande Blvd SE
Rio Rancho, NM 87124-1799
Phone (505) 979-0715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250623001821 NM Practitioner - Mental Health Counselor 0547772949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5908 Osuna Rd NE
Albuquerque, NM 87109-2535
Phone (505) 440-5829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0219551NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diverse Voices Therapy LLC Mental Health CurrentSince May 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1255006565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-979-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-979-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOPEK",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0219551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.