Active NPI
Brandon Kay Eubanks, MA, NCC, LPC
- Mental Health Counselor
- Juneau, AK
National Provider Identifier
1508400896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Phone
- (907) 796-8900
- NPI assigned
- Oct 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | CO | Primary |
Addresses
Primary practice location
3260 Hospital Dr
Juneau, AK 99801-7808
Mailing address
3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8900
Other practice location 1
1650 S Bragaw
Anchorage, AK 99508
Phone (907) 433-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240216001974 | AK | Practitioner - Mental Health Counselor | 3870937980 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bartlett Regional Hospital
Practice addresses (Care Compare)
3240 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartlett Regional Hospital | Current | Accepting new patients |
Locations
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3240 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8435
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": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1508400896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-796-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-796-8900"
}
],
"practiceLocations": [
{
"address_1": "1650 S Bragaw",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "99508",
"country_code": "US",
"telephone_number": "907-433-7320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANKS",
"first_name": "BRANDON",
"middle_name": "KAY",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.