Brandie Christine Degroat, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

824 17TH Ave S Ste 11
Nampa, ID 83651-4781

Phone

(208) 249-0432

NPI assigned

Jun 28, 2022

Sex

Female

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

Opted out of Medicare

Yes, effective Jul 18, 2024 through Jul 18, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lilac Counseling, LLC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1720701485

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1992437065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 17TH AVE S STE 11",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514781",
            "telephone_number": "208-249-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 17TH AVE S STE 11",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514781",
            "telephone_number": "208-249-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Logan St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054883",
            "country_code": "US",
            "telephone_number": "208-454-1480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "BRANDIE",
        "middle_name": "CHRISTINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James K Dean, O.D.
• Kevin G Dean, O.D.
• Eliane Alabe Deblauw, LMFT
• Michael Joseph Decker, MD
• Michael M Dee, M.D.
• Dana Marie Deichmann, PMHNP
• Javier Del Hoyo Herrera, DC
• Jofel Francis Oconer Del Mundo, FNP
• Jessica Davine Del Vecchio, LPC
• Danielle Delaire, BCABA

• All providers in Nampa, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.