The Branch Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

66255 Issued in TX

Legal business name

THE BRANCH COUNSELING PLLC

Practice address

4099 McEwen Rd Ste 780
Farmers Branch, TX 75244-5030

Phone

(972) 591-7915

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Marie Ayala, LPC-SNPI 1043595325

Title

Owner

Phone

(318) 840-5786

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Marie Ayala, LPC-S

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1043595325
  NPD (past) Authorized official

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1003358318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 780",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445030",
            "telephone_number": "972-591-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 780",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445030",
            "telephone_number": "972-591-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRANCH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-840-5786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.