Individual provider Active NPI

Judy Virginia Brevaire, LMFT

  • Marriage & Family Therapist
  • Tucson, AZ
National Provider Identifier
1669612388
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT32458 Issued in CA
Practice address
6390 E Broadway Blvd Ste 100
Tucson, AZ 85710-3530
Phone
(520) 733-2250
Fax
(520) 733-2270
NPI assigned
Feb 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT32458 CA Primary

Addresses

Primary practice location

6390 E Broadway Blvd Ste 100
Tucson, AZ 85710-3530

Mailing address

6390 E Broadway Blvd Ste 100
Tucson, AZ 85710-3530
Phone (520) 733-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240530000005 AZ Practitioner - Marriage and Family Therapist 2466894969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quality of Life Medical Centers LLCGroup PAC ID 8820988348, 12 clinicians

Practice addresses (Care Compare)

6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone (520) 733-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT32458CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Medical Centers, LLC CurrentSince Mar 21, 2025 Accepting new patients
Solace Behavioral Health LLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

6390 E Broadway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 284-7949

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

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, 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": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1669612388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 E BROADWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103530",
            "telephone_number": "520-733-2250",
            "fax_number": "520-733-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 E BROADWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103530",
            "telephone_number": "520-733-2250",
            "fax_number": "520-733-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVAIRE",
        "first_name": "JUDY",
        "middle_name": "VIRGINIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-21",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT32458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.