Brian Keith Merrill

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-10749 Issued in AZ

Practice address

2707 S White Mountain Rd
#G
Show Low, AZ 85901-7343

Phone

(928) 532-1200

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 23, 2024 through Sep 23, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1790979037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859020142",
            "telephone_number": "928-532-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S WHITE MOUNTAIN RD",
            "address_2": "#G",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017343",
            "telephone_number": "928-532-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone McEuen, DPT
• James S McEvoy, DO
• Darrien Gerard McFarlin, PHARMD
• Jason Mark Melde, DMD
• Sue P. Menlove, CCC-SLP
• Kyler Grant Merrill, AGPCNP-BC
• April Metheney, LPC
• Jared D Meyers, AUD.
• Jillana Michelle, NP
• Miles Eye Center PLLC

• Mental Health Counselor in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.