Individual provider Active NPI

Jennifer Brummet, MC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1811228950
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-12697 Issued in AZ
Practice address
7427 E Brisa Dr
Scottsdale, AZ 85266-4254
Phone
(602) 206-0188
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC12697 AZ
Professional Counselor 101YP2500X LPC-12697 AZ Primary

Addresses

Primary practice location

7427 E Brisa Dr
Scottsdale, AZ 85266-4254

Mailing address

7427 E Brisa Dr
Scottsdale, AZ 85266-4254
Phone (022) 060-1886

Other identifiers 1

IdentifierTypeStateIssuer
634695MedicaidAZ

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
LPC12697AZMDCounselor
LPC-12697AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1811228950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 E BRISA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852664254",
            "telephone_number": "022-060-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 E BRISA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852664254",
            "telephone_number": "602-206-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMET",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC12697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634695",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.