Active NPI
Banner Counseling & Wellness PLLC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1083599716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BANNER COUNSELING & WELLNESS PLLC
- Practice address
- 2269 W Cumberland Rd Ste 202
Tyler, TX 75703-5481 - Phone
- (903) 714-7205
- NPI assigned
- Aug 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Peacock, MA, LPC
- Title
- Therapist, Owner
- Phone
- (903) 714-7205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2269 W Cumberland Rd Ste 202
Tyler, TX 75703-5481
Mailing address
2269 W Cumberland Rd Ste 202
Tyler, TX 75703-5481
Phone (903) 714-7205
National Provider Directory
National Provider DirectoryLocations
2269 W Cumberland Rd
Ste 202
Tyler, TX 75703
Phone (903) 714-7205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tyler, TX
- NPI 1669088134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1083599716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2269 W CUMBERLAND RD STE 202",
"city": "TYLER",
"state": "TX",
"postal_code": "757035481",
"telephone_number": "903-714-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2269 W CUMBERLAND RD STE 202",
"city": "TYLER",
"state": "TX",
"postal_code": "757035481",
"telephone_number": "903-714-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER COUNSELING & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "PEACOCK",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "THERAPIST, OWNER",
"authorized_official_telephone_number": "903-714-7205",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.