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NATHANIEL BREWER LAC
NPI 1164391728
Counselor - Professional in Peoria, AZ

Active since November 03, 2025
8765 W KELTON LN, PEORIA, AZ 85382(602) 613-0403 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 4, 2026, Nov 7, 2025 (2 updates tracked since 2025).

About Nathaniel Brewer Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL BREWER LAC (NPI 1164391728) is an individual professional provider in Peoria, Arizona, licensed in Arizona (LPC-24726) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1164391728
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNATHANIEL BREWERCredential: LAC
Location Address8765 W KELTON LNPeoria, AZ 85382-3584
Mailing Address15508 W Bell Rd Ste 101-247Surprise, AZ 85374-2432
Phone(602) 613-0403
Sole ProprietorYes
Enumeration DateNovember 3, 2025
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1164391728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-24726
8765 W KELTON LN, Peoria, AZ 85382
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN T GREGG OTR/L
Occupational Therapist (Pediatrics)
8765 W KELTON LN, SUITE 116
PEORIA, AZ 85382
Maricopa County (623) 977-4911
OPTIMUM CHIROPRACTIC PLLC
Chiropractor
8765 W KELTON LN, B-4 SUITE 150
PEORIA, AZ 85382
Maricopa County (623) 979-7100
DIANA LYNN SRDICH D.C.
Chiropractor (Orthopedic)
8765 W KELTON LN, BLDG B-4, SUITE 150
PEORIA, AZ 85382
Maricopa County (623) 979-7100
BEVIN M BARRETT SLPA
Specialist/Technologist (Speech-Language Assistant)
8765 W KELTON LN
PEORIA, AZ 85382
Maricopa County (623) 977-4911
KAYLEN ROSS
Occupational Therapist
8765 W KELTON LN
PEORIA, AZ 85382
Maricopa County (623) 226-4002
CHRISTINE DAVIS ESCOBAR
Counselor
8765 W KELTON LN
PEORIA, AZ 85382
Maricopa County (623) 252-0311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Brewer's NPI number?

The NPI number for Nathaniel Brewer is 1164391728. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Nathaniel Brewer located?

Nathaniel Brewer practices at 8765 W Kelton Ln, Peoria, AZ 85382. The listed phone number is (602) 613-0403.

What is Nathaniel Brewer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nathaniel Brewer was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.