Individual provider Active NPI

Brenda Bridges, LMFT

  • Marriage & Family Therapist
  • Georgetown, TX
National Provider Identifier
1033454343
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111243 Issued in CA
Practice address
1113 Moonlight Terrace Dr
Georgetown, TX 78628-2966
Phone
(512) 791-7401
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 203706 TX
Marriage & Family Therapist 106H00000X CA
Marriage & Family Therapist 106H00000X 111243 CA Primary
Marriage & Family Therapist 106H00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1113 Moonlight Terrace Dr
Georgetown, TX 78628-2966

Mailing address

2300 Scenic Dr Ste 1322
Georgetown, TX 78626-7705
Phone (512) 955-2052

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
I20250227003920 TX Practitioner - Marriage and Family Therapist 9537689963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3626 Williams Dr
Suite 100
Georgetown, TX 78628-4092
Phone (888) 374-5066

504 Power Rd
Suite a
Georgetown, TX 78628-3233
Phone (512) 955-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111243CAMDMarriage & Family Therapist
203706TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Feb 25, 2025 Accepting new patients
Bridges Behavioral Health Counseling LLC Marriage & Family Therapist CurrentSince Dec 7, 2025 Accepting new patients
Family Care Center, LLC Marriage & Family Therapist CurrentSince Feb 25, 2025 Accepting new patients
Sud Specialty Group - Ca Addiction (Substance Use Disorder) Current Accepting new patients

Locations

504 Power Rd
#A
Georgetown, TX 78628

3626 Williams Dr
Ste 100
Georgetown, TX 78628
Phone (512) 643-0659

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

Organizations & group practices 5

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033454343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SCENIC DR STE 1322",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267705",
            "telephone_number": "512-955-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MOONLIGHT TERRACE DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282966",
            "telephone_number": "512-791-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "BRENDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203706",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111243",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.