Individual provider Active NPI

Barbara Dawn Brody, LPC, M.ED.

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1295910271
Registry record updated Jun 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15208 Issued in AZ
Practice address
1661 N Swan Rd Ste 102
Tucson, AZ 85712-4051
Phone
(520) 407-4774
Fax
(520) 306-5057
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2015

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 3999-125 WI
Professional Counselor 101YP2500X LPC-15208 AZ Primary

Addresses

Primary practice location

1661 N Swan Rd Ste 102
Tucson, AZ 85712-4051

Mailing address

1010 E West Circle Dr
Tucson, AZ 85719-3064
Phone (520) 407-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC-15208AZMDProfessional Counselor
3999-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433635200000",
    "number": "1295910271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E WEST CIRCLE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193064",
            "telephone_number": "520-407-4774",
            "fax_number": "520-306-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124051",
            "telephone_number": "520-407-4774",
            "fax_number": "520-306-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "BARBARA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LPC, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3999-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; 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.