Active NPI
Brandy Lea Whisenant, LPCA
- Professional Counselor
- Vidor, TX
National Provider Identifier
1093568909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94680
- Practice address
- 960 Leon St
Vidor, TX 77662-3409 - Phone
- (409) 291-1314
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1214492 | TX | |
| Professional Counselor | 101YP2500X | 94680 | TX | Primary |
Addresses
Primary practice location
960 Leon St
Vidor, TX 77662-3409
Mailing address
960 Leon St
Vidor, TX 77662-3409
Phone (409) 291-1314
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 |
|---|---|---|---|
| 94680 | TX | MD | Professional Counselor |
| 1214492 | TX | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1093568909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 LEON ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776623409",
"telephone_number": "409-291-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 LEON ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776623409",
"telephone_number": "409-291-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENANT",
"first_name": "BRANDY",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TX",
"license": "1214492",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vidor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.