Individual provider Active NPI

B. Brando Tupaz, LPCC-SUPV

  • Mental Health Counselor
  • Parma, OH
National Provider Identifier
1982900775
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0003536-SUPV Issued in OH
Practice address
6900 Ridge Rd
Parma, OH 44129-5650
Phone
(408) 871-1100
Fax
(440) 887-1103
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0003536-SUPV OH Primary

Addresses

Primary practice location

6900 Ridge Rd
Parma, OH 44129-5650

Mailing address

6900 Ridge Rd Ste 202
Parma, OH 44129-5650
Phone (440) 887-1100

Other practice location 1

14707 S Cheshire St
Burton, OH 44021-9601
Phone (440) 887-1100 ext. 243

Other identifiers 1

IdentifierTypeStateIssuer
0450918MedicaidOH

Other names 1

  • Brando Tupaz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003340 OH Practitioner - Mental Health Counselor 9830625094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Center Inc. CurrentSince Feb 1, 2025 Accepting new patients
McIntyre Center Inc. PastSince Feb 1, 2025 Accepting new patients

Locations

14707 S Cheshire St
Burton, OH 44021
Phone 4408871100 ext. 243

6900 Ridge Rd
Ste 202
Parma, OH 44129
Phone (440) 887-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1982900775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "408-871-1100",
            "fax_number": "440-887-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14707 S Cheshire St",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "OH",
            "postal_code": "440219601",
            "country_code": "US",
            "telephone_number": "440-887-1100 x243",
            "fax_number": "440-887-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUPAZ",
        "first_name": "B.",
        "middle_name": "BRANDO",
        "credential": "LPCC-SUPV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0003536-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDO",
            "last_name": "TUPAZ",
            "credential": "LPCC-SUPV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.