Individual provider Active NPI

Brandy Mason, LLPC

  • Mental Health Counselor
  • Northville, MI
National Provider Identifier
1568022259
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451017268 Issued in MI
Practice address
21196 Woodfarm Dr
Northville, MI 48167-9765
Phone
(248) 679-6952
Fax
(833) 233-2242
NPI assigned
Jun 16, 2019
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 6451017268 MI Primary

Addresses

Primary practice location

21196 Woodfarm Dr
Northville, MI 48167-9765

Mailing address

21196 Woodfarm Dr
Northville, MI 48167-9765
Phone (248) 679-6952

Other names 1

  • Miss Brandy Porterfield Professional name

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

State licenses

LicenseStateTypeSpecialty
6451017268MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Your Heart Matters Counseling and Consulting, LLC Counselor CurrentSince Aug 18, 2024 Accepting new patients
Judson Center, Inc. Past Accepting new patients
Judson Center, 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, 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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1568022259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21196 WOODFARM DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679765",
            "telephone_number": "248-679-6952",
            "fax_number": "833-233-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21196 WOODFARM DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679765",
            "telephone_number": "248-679-6952",
            "fax_number": "833-233-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "BRANDY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451017268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "PORTERFIELD",
            "prefix": "MISS",
            "credential": "LLPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.