Jeanette D Brandt, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1266 Issued in NM

Practice address

214 E Main St
Tucumcari, NM 88401-2223

Phone

(505) 461-6080

Fax

(505) 461-4802

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407940588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W BARNES AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013271",
            "telephone_number": "505-461-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012223",
            "telephone_number": "505-461-6080",
            "fax_number": "505-461-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JEANETTE",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89534077",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bestcare Pharmacy Tucumcari LLC (Bestcare Pharmacy Tucumcari)
• Amber Dawn Black
• Bobs' Budget Pharmacy
• Kerri L. Bollinger, LMSW
• Tamara L Bosley, BMS
• Bridge Counseling
• Allison Brito
• Jonathan Brito
• Corrianne H Broner
• Aimee Lachele Broom

• Mental Health Counselor in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.