Active NPI
Barbara Dawn Brody, LPC, M.ED.
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1295910271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-15208 | AZ | MD | Professional Counselor |
| 3999-125 | WI | MD | Professional 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.