Active NPI
Andrea K Brown
- Counselor
- San Antonio, TX
National Provider Identifier
1013699602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 92267
- Practice address
- 414 Waxberry TRL
San Antonio, TX 78256-1636 - Phone
- (512) 887-2977
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 92267 | TX | |
| Professional Counselor | 101YP2500X | 92267 | TX | |
| Counselor | 101Y00000X | 92267 | TX | Primary |
Addresses
Primary practice location
414 Waxberry TRL
San Antonio, TX 78256-1636
Mailing address
414 Waxberry TRL
San Antonio, TX 78256-1636
Phone (512) 887-2977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92267 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1013699602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 WAXBERRY TRL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782561636",
"telephone_number": "512-887-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 WAXBERRY TRL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782561636",
"telephone_number": "512-887-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANDREA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "92267",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92267",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "92267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.