Deogratias Baransaka, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BH4311 Issued in AZ

Practice address

7215 W Ironwood Dr
Peoria, AZ 85345-6805

Phone

(623) 760-8378

Fax

(623) 594-8992

NPI assigned

Oct 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Muco Behavioral Health Residential Home, LLC

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1275942468

  Community/Behavioral Health

  NPD Authorized official
• Muco Behavioral Health Residential Home, LLC

  • Community/Behavioral Health Agency
  • Avondale, AZ
  • NPI 1659157147

  Community/Behavioral Health

  NPD Authorized official

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1598090151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 W IRONWOOD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456805",
            "telephone_number": "623-760-8378",
            "fax_number": "623-594-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 W IRONWOOD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456805",
            "telephone_number": "623-760-8378",
            "fax_number": "623-594-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANSAKA",
        "first_name": "DEOGRATIAS",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "BH4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Urgent Care Services, LLC
• Banner Urgent Care Services, LLC
• Baraka House LLC
• Emma Barcelo, RN
• Madison Barker
• Shannon Elizabeth Barker, D.O.
• Gera R Barnard, MSN, FNP-C
• Ian Barnes, LCSW

• All providers in Peoria, AZ
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.