Individual provider Active NPI

Brianna Palma Nicole Kraatz, MS, LCDC, LPC-S

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1083299739
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75528 Issued in TX
Practice address
9101 Lyndon B Johnson Fwy
Dallas, TX 75243-2057
Phone
(469) 709-8977
NPI assigned
Mar 15, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 13435 TX
Mental Health Counselor 101YM0800X 75528 TX Primary

Addresses

Primary practice location

9101 Lyndon B Johnson Fwy
Dallas, TX 75243-2057

Mailing address

O 4144 N Central Expy Ste 850
Dallas, TX 75204
Phone (469) 709-8977

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
I20240507003417 TX Practitioner - Mental Health Counselor 7416398540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

8350 N Central Expy
Suite 1900
Dallas, TX 75206-1604
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13435TXMDAddiction (Substance Use Disorder) Counselor
75528TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Apr 23, 2024 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

4144 N Central Expy
Ste 850
Dallas, TX 75204
Phone (512) 298-4324

8350 N Central Expy
Ste 1900
Dallas, TX 75206
Phone (469) 942-9483

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, 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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083299739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "O 4144 N CENTRAL EXPY STE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "469-709-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 LYNDON B JOHNSON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432057",
            "telephone_number": "469-709-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAATZ",
        "first_name": "BRIANNA",
        "middle_name": "PALMA NICOLE",
        "credential": "MS, LCDC, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13435",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.