Active NPI
Brittani Bodwin
- Professional Counselor
- Houston, TX
National Provider Identifier
1093413684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 108542
- Practice address
- 12301 S. Main St
Houston, TX 77035 - Phone
- (713) 275-5400
- NPI assigned
- Feb 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108452 | TX | |
| Professional Counselor | 101YP2500X | 108542 | TX | Primary |
Addresses
Primary practice location
12301 S. Main St
Houston, TX 77035
Mailing address
12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108542 | TX | MD | Professional Counselor |
| 108452 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1093413684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 S. MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77035",
"telephone_number": "713-275-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODWIN",
"first_name": "BRITTANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "108452",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "108542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.