Individual provider Active NPI

Brenda Keirns

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1033851159
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77915 Issued in TX
Practice address
13352 Victorio Rd Unit B
El Paso, TX 79908-7715
Phone
(513) 888-7984
NPI assigned
Apr 9, 2022
Last updated
Apr 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77915 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14369 TX
Mental Health Counselor 101YM0800X 77915 TX
Professional Counselor 101YP2500X 77915 TX Primary

Addresses

Primary practice location

13352 Victorio Rd Unit B
El Paso, TX 79908-7715

Mailing address

13352 Victorio Rd Unit B
El Paso, TX 79908-7715
Phone (513) 888-7984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241220000119 TX Practitioner - Mental Health Counselor 6103353784 Reassigns benefits to 1 organization
I20241220000334 CO Practitioner - Mental Health Counselor 6103353784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14369TXMDAddiction (Substance Use Disorder) Counselor
77915TXMDMental Health Counselor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1033851159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13352 VICTORIO RD UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799087715",
            "telephone_number": "513-888-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13352 VICTORIO RD UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799087715",
            "telephone_number": "513-888-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIRNS",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77915",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14369",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77915",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.