B. BRANDO TUPAZ (LPCC-SUPV) – Mental Health Counselor, NPI 1982900775

B. BRANDO TUPAZ (LPCC-SUPV) is a healthcare provider. based in Burton, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-SUPV. They hold a License No. E.0003536-SUPV (OH). The NPI Number for B. BRANDO TUPAZ (LPCC-SUPV) is 1982900775

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
B. BRANDO TUPAZ (LPCC-SUPV)
NPI
1982900775
Phone
(440) 887-1100
Address
14707 S Cheshire St
Enumeration Date
27 January 2011
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408871000243
Graduation Year
1997 (29 years ago)
PAC ID
9830625094
Group Practice PAC ID
2567998719
Professional Enrollment ID
I20250423003340
Address ID
OH441295650PA6900XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for B. BRANDO TUPAZ (LPCC-SUPV)

  • 14707 S Cheshire St

    Burton, OH 440219601

    Phone: (440) 887-1100

    Fax: (440) 887-1103

    Type: Location

  • 3737 LANDER RD

    PEPPER PIKE, OH 441245712

    Phone: (216) 831-2255

    Fax: (216) 378-3906

    Type: Mailing

  • 6900 RIDGE RD STE 202

    PARMA, OH 441295650

    Phone: (440) 887-1100

    Fax: (440) 887-1103

    Type: Mailing

  • 6900 RIDGE RD

    PARMA, OH 441295650

    Phone: (408) 871-1100

    Fax: (440) 887-1103

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250423003340IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567998719View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is there an official ID for B. BRANDO TUPAZ (LPCC-SUPV) in U.S. healthcare records?
The official identifier for B. BRANDO TUPAZ (LPCC-SUPV) is NPI 1982900775.
Active or inactive — what applies to B. BRANDO TUPAZ (LPCC-SUPV)?
You should see B. BRANDO TUPAZ (LPCC-SUPV) as active in CMS-hosted NPPES data.
What clinical focus is listed for B. BRANDO TUPAZ (LPCC-SUPV)?
At a glance, B. BRANDO TUPAZ (LPCC-SUPV) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for B. BRANDO TUPAZ (LPCC-SUPV)?
Travel planning: use Burton, Ohio as the reference point for B. BRANDO TUPAZ (LPCC-SUPV), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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