NPIMap

Organization Active NPI

Michael Brubaker Counseling

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
National Provider Identifier
1851895783
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LISACAZ0122 Issued in AZ
Legal business name
MICHAEL BRUBAKER COUNSELING
Practice address
1927 N. Trekell Rd
Ste D
Casa Grande, AZ 85122
Phone
(520) 836-9788
Fax
(520) 421-1975
NPI assigned
Mar 23, 2018
Organization subpart
Yes
Parent organization
MICHAEL BRUBAKER COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Mr. Michael Clark Brubaker, LISAC/NCGC II
Title
Owner
Phone
(520) 836-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LISACAZ0122 AZ Primary

Addresses

Primary practice location

1927 N. Trekell Rd
Ste D
Casa Grande, AZ 85122

Mailing address

1927 N. Trekell Rd, Ste. D
Casa Grande, AZ 85122
Phone (520) 836-9788

Other names 1

  • Michael Brubaker Counseling, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Michael Brubaker Counseling2 organizations share this tax ID, including this one
Part of
Michael Brubaker Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1851895783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 N. TREKELL RD, STE. D",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-836-9788",
            "fax_number": "520-421-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 N. TREKELL RD",
            "address_2": "STE D",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-836-9788",
            "fax_number": "520-421-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRUBAKER COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL BRUBAKER COUNSELING, LLC",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-836-9788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISAC/NCGC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISACAZ0122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Brubaker Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Michael Brubaker Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.