Individual provider Active NPI

Brittany Teague

  • Professional Counselor
  • Wichita Falls, TX
National Provider Identifier
1063051837
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79490 Issued in TX
Practice address
1420 Twin Oaks St
Wichita Falls, TX 76302-2723
Phone
(940) 696-0181
Fax
(940) 696-5692
NPI assigned
Dec 27, 2019
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79490 TX Primary

Addresses

Primary practice location

1420 Twin Oaks St
Wichita Falls, TX 76302-2723

Mailing address

1420 Twin Oaks St
Wichita Falls, TX 76302-2723
Phone (940) 696-0181

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
I20231130000708 TX Practitioner - Mental Health Counselor 9234587320 Reassigns benefits to 1 organization
Practice locations: Wichita Falls, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Counseling Ministry IncGroup PAC ID 0547759185, 2 clinicians

Practice addresses (Care Compare)

1420 Twin Oaks St
Wichita Falls, TX 76302-2723
Phone (940) 696-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79490TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Counseling Ministry Inc Professional CurrentSince Aug 19, 2025 Accepting new patients
Bryan Wieck MD PA PastSince Dec 1, 2019 Accepting new patients
Rose Street Mental Health Care, LLP PastSince Dec 1, 2019 Accepting new patients

Locations

1420 Twin Oaks St
Wichita Falls, TX 76302
Phone (940) 696-0181

Organizations & group practices 3

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1063051837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TWIN OAKS ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022723",
            "telephone_number": "940-696-0181",
            "fax_number": "940-696-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TWIN OAKS ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022723",
            "telephone_number": "940-696-0181",
            "fax_number": "940-696-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.