Individual provider Active NPI

Tara Brisnehan

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1487295564
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1441 E Germann Rd Apt 1135
Chandler, AZ 85286-1789
Phone
(970) 412-8487
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1441 E Germann Rd Apt 1135
Chandler, AZ 85286-1789

Mailing address

1441 E Germann Rd Apt 1135
Chandler, AZ 85286-1789
Phone (970) 412-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20250502001119 AZ Practitioner - Mental Health Counselor 4486170453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Lives Building Tribes LLC Professional CurrentSince Mar 24, 2025 Accepting new patients

Locations

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1487295564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E GERMANN RD APT 1135",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861789",
            "telephone_number": "970-412-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E GERMANN RD APT 1135",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861789",
            "telephone_number": "970-412-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISNEHAN",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.