Individual provider Active NPI

Alethea Braun-Dunagan, M.A., LPC

  • Professional Counselor
  • Flagstaff, AZ
National Provider Identifier
1538499678
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-14420 Issued in AZ
Practice address
710 N Beaver St
BLDG 4
Flagstaff, AZ 86001-3139
Phone
(928) 774-7997
Fax
(928) 774-0300
NPI assigned
Jan 13, 2010
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 LPC-14420 AZ Primary

Addresses

Primary practice location

710 N Beaver St
BLDG 4
Flagstaff, AZ 86001-3139

Mailing address

710 N Beaver St
BLDG 4
Flagstaff, AZ 86001-3139
Phone (928) 774-7997

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
I20241022001326 AZ Practitioner - Mental Health Counselor 7911350699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 N Beaver St
BLDG 4
Flagstaff, AZ 86001-3139
Phone (928) 774-7997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-14420AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Behavioral Health Associates, P.C. Professional CurrentSince Oct 29, 2024 Accepting new patients

Locations

710 N Beaver St
Bldg 4
Flagstaff, AZ 86001
Phone (928) 774-2745

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1538499678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013139",
            "telephone_number": "928-774-7997",
            "fax_number": "928-774-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013139",
            "telephone_number": "928-774-7997",
            "fax_number": "928-774-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN-DUNAGAN",
        "first_name": "ALETHEA",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-14420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.