Active NPI
Brian Shane Hufford, MS
- Professional Counselor
- Chandler, AZ
National Provider Identifier
1477179240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-22025
- Practice address
- 335 N Alma School Rd Ste E
Chandler, AZ 85224-4363 - Phone
- (480) 641-1165
- NPI assigned
- Jun 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-22025 | AZ | Primary |
Addresses
Primary practice location
335 N Alma School Rd Ste E
Chandler, AZ 85224-4363
Mailing address
33511 N 25TH Dr
Phoenix, AZ 85085-6004
Phone (602) 326-1722
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-22025 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Counselor | Past | Accepting new patients |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1194285643
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chandler, AZ
- NPI 1285823377
Counselor
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avondale, AZ
- NPI 1497229314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1477179240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33511 N 25TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856004",
"telephone_number": "602-326-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 N ALMA SCHOOL RD STE E",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244363",
"telephone_number": "480-641-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFORD",
"first_name": "BRIAN",
"middle_name": "SHANE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-22025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.