Individual provider Active NPI

Brandon Covey, LPCC

  • Professional Counselor
  • Alliance, OH
National Provider Identifier
1568069029
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2404423 Issued in OH
Practice address
1844 W State St
Alliance, OH 44601-5771
Phone
(330) 493-4553
Fax
(330) 493-3761
NPI assigned
Oct 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2002740-TRNE OH
Professional Counselor 101YP2500X E.2404423 OH Primary

Addresses

Primary practice location

1844 W State St
Alliance, OH 44601-5771

Mailing address

624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553

Other practice location 1

624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553 ext. 108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240829002614 OH Practitioner - Mental Health Counselor 3971042391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rising Behavioral Healthcare and Recovery, Inc.Group PAC ID 2466485800, 30 clinicians

Practice addresses (Care Compare)

624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2002740-TRNEOHMDCounselor
E.2404423OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rising Behavioral Healthcare and Recovery, Inc CurrentSince Aug 8, 2024 Accepting new patients
Phoenix Rising Behavioral Healthcare and Recovery Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

1844 W State St
Alliance, OH 44601
Phone (330) 493-4553

624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066

Organizations & group practices 2

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1568069029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021017",
            "telephone_number": "330-493-4553",
            "fax_number": "330-493-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015771",
            "telephone_number": "330-493-4553",
            "fax_number": "330-493-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Market Ave N",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021017",
            "country_code": "US",
            "telephone_number": "330-493-4553 x108",
            "fax_number": "330-493-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVEY",
        "first_name": "BRANDON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2002740-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.