Individual provider Active NPI

Brenda R Parker, LPC

  • Professional Counselor
  • Sierra Vista, AZ
National Provider Identifier
1790438760
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23195 Issued in AZ
Practice address
2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283
Phone
(520) 266-1819
NPI assigned
Jan 31, 2022
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20448 AZ
Professional Counselor 101YP2500X LPC-23195 AZ Primary

Addresses

Primary practice location

2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283

Mailing address

2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283
Phone (520) 266-1819

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenda@fountainofhopecounseling.org Health Information Exchange (HIE)

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
LPC-23195AZMDProfessional Counselor
20448AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain of Hope Counseling Inc Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

721 N Gonzales Blvd
Huachuca City, AZ 85616
Phone (520) 456-1000

100 S 7th St
Ste 5
Sierra Vista, AZ 85635

2151 S Highway 92
Ste 104
Sierra Vista, AZ 85635

Organizations & group practices 1

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1790438760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92 STE 104",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355283",
            "telephone_number": "520-266-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92 STE 104",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355283",
            "telephone_number": "520-266-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRENDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "20448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda@fountainofhopecounseling.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 S 7th St Ste 5",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856352509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.