Individual provider Active NPI

Brandy M Dale, CPRS, ST-C, STNA

  • Case Manager/Care Coordinator
  • Dayton, OH
National Provider Identifier
1649599739
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
573 Majestic Dr
Dayton, OH 45417-8925
Phone
(513) 279-8222
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OH
Peer Specialist 175T00000X 0001415 OH
Technician 374700000X OH
Personal Care Attendant 3747P1801X OH
Home Health Aide 374U00000X OH
Nurse's Aide 376K00000X 400865580209 OH
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

573 Majestic Dr
Dayton, OH 45417-8925

Mailing address

8044 Montgomery Rd Ste 120
Cincinnati, OH 45236-2919
Phone (513) 607-5128

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidOH

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
0001415OHMDPeer Specialist
400865580209OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshy Healing Pathways and Resources for Youth CurrentSince May 4, 2025 Accepting new patients
Radley Health Inc CurrentSince Aug 3, 2025 Accepting new patients

Locations

8044 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 600-0694

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1649599739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362919",
            "telephone_number": "513-607-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 MAJESTIC DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454178925",
            "telephone_number": "513-279-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "BRANDY",
        "middle_name": "M",
        "credential": "CPRS, ST-C, STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001415",
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400865580209",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.