Active NPI
Brianna Dorris
- Mental Health Counselor
- Lubbock, TX
National Provider Identifier
1053192229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91731
- Practice address
- 4601 66TH St Ste E
Lubbock, TX 79414-4875 - Phone
- (806) 712-5225
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91731 | TX | Primary |
Addresses
Primary practice location
4601 66TH St Ste E
Lubbock, TX 79414-4875
Mailing address
4601 66TH St
Lubbock, TX 79414-4828
Phone (806) 712-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780270173 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 24, 2025 through Mar 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91731 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1053192229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 66TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144828",
"telephone_number": "806-712-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 66TH ST STE E",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144875",
"telephone_number": "806-712-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRIS",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "91731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780270173",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.