Brenda C. Price

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC 1383 Issued in AZ

Practice address

564 N Idaho Rd
Apache Junction, AZ 85219-4001

Phone

(480) 288-5328

Fax

(480) 288-5328

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669520250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852173160",
            "telephone_number": "480-288-5328",
            "fax_number": "480-288-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 N IDAHO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852194001",
            "telephone_number": "480-288-5328",
            "fax_number": "480-288-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BRENDA",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 1383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164256",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin Porter, DMD
• Tiffany Porter
• Joy Lee Potersnak, LPN
• Colette Suzanne Powell, M.N.S. CCC-SLP
• Premier Care Medical Services PLLC
• Quality Care Assisted Living, Inc
• Quigley Family Medical, LLC
• R Abedi DDS PLLC
• Jennifer Maria Rainwater, PTA
• Raquel Ramirez, MC

• Addiction (Substance Use Disorder) Counselor in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.