Active NPI
Breecole Louise Valdez, LPC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1730911751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-21992
- Practice address
- 2 N Central Ave FL 18
Phoenix, AZ 85004-2322 - Phone
- (646) 941-7645
- Fax
- (929) 596-7897
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-21992 | AZ | Primary |
Addresses
Primary practice location
2 N Central Ave FL 18
Phoenix, AZ 85004-2322
Mailing address
PO Box 1449
Gilbert, AZ 85299-1449
Phone (480) 215-8331
Other names 1
- Breecole Louise Valdez
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21992 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1730911751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991449",
"telephone_number": "480-215-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE FL 18",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042322",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "BREECOLE",
"middle_name": "LOUISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-21992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREECOLE",
"last_name": "VALDEZ",
"middle_name": "LOUISE",
"credential": "BREECOLE VALDEZ, LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.