MICHAEL JAY BRAZELTON IADC NPI 1639530777

NPI Information

  • NPI: 1639530777
  • Provider Name: MICHAEL JAY BRAZELTON, IADC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 505 5TH AVENUE
    SUITE 600
    DES MOINES, IA
    ZIP 50309
  • Phone: (515) 243-4200

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NPI Details

Michael Jay Brazelton, IADC is a counselor in Des Moines, IA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Michael Jay Brazelton, IADC NPI is 1639530777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

505 5TH AVENUE
SUITE 600
DES MOINES, IA
ZIP 50309
Phone: (515) 243-4200
Fax: (515) 284-5201

The enumeration date for this NPI number is 3/17/2016 and was last updated on 3/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorIADC-06114IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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