Individual provider Active NPI

Brian B Edwards, LPC/LCDC

  • Professional Counselor
  • Midland, TX
National Provider Identifier
1023054301
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19395 Issued in TX
Practice address
3000 N Garfield St
Suite 215
Midland, TX 79705-6400
Phone
(432) 694-8509
Fax
(432) 682-1442
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401 TX
Professional Counselor 101YP2500X 19395 TX Primary

Addresses

Primary practice location

3000 N Garfield St
Suite 215
Midland, TX 79705-6400

Mailing address

3000 N Garfield St
Suite 215
Midland, TX 79705-6400
Phone (432) 694-8509

Other identifiers 1

IdentifierTypeStateIssuer
175008501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002501 TX Practitioner - Mental Health Counselor 8729510276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

408 Mulberry St
Brownwood, TX 76801-1639
Phone (325) 646-9574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401TXMDAddiction (Substance Use Disorder) Counselor
19395TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Mental Health and Mental Retardation Center Professional CurrentSince Sep 26, 2024 Accepting new patients
Spectrum Counseling & Human Development Center Past Accepting new patients

Locations

408 Mulberry St
Brownwood, TX 76801
Phone (325) 646-9574

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1023054301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST",
            "address_2": "SUITE 215",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056400",
            "telephone_number": "432-694-8509",
            "fax_number": "432-682-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST",
            "address_2": "SUITE 215",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056400",
            "telephone_number": "432-694-8509",
            "fax_number": "432-682-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRIAN",
        "middle_name": "B",
        "name_prefix": "Prof.",
        "credential": "LPC/LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6401",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175008501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.