Individual provider Active NPI

Brianna Reinhold, LPC

  • Mental Health Counselor
  • Maricopa, AZ
National Provider Identifier
1497395420
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18238 Issued in AZ
Practice address
21300 N John Wayne Pkwy Ste 103
Maricopa, AZ 85139-8964
Phone
(623) 243-2774
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18238 AZ Primary

Addresses

Primary practice location

21300 N John Wayne Pkwy Ste 103
Maricopa, AZ 85139-8964

Mailing address

21300 N John Wayne Pkwy Ste 103
Maricopa, AZ 85139-8964
Phone (623) 243-2774

Other names 1

  • Miss Brianna Snell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240417003085 AZ Practitioner - Mental Health Counselor 1355780701 Practice locations: Maricopa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21300 N John Wayne Pkwy
Suite 103
Maricopa, AZ 85139-8964
Phone (623) 243-2774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18238AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lights Therapy PLLC Mental Health CurrentSince Feb 10, 2024 Accepting new patients

Locations

21300 N John Wayne Pkwy
Ste 103
Maricopa, AZ 85139
Phone (520) 350-0074

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1497395420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 103",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "623-243-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 103",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "623-243-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHOLD",
        "first_name": "BRIANNA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "18238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "SNELL",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.