Active NPI
Brooke Elaine Gilliland, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1104599968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84321
- Practice address
- 8627 Cinnamon Creek Dr Ste 701
San Antonio, TX 78240-1482 - Phone
- (210) 680-4747
- NPI assigned
- Jul 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84321 | TX | Primary |
Addresses
Primary practice location
8627 Cinnamon Creek Dr Ste 701
San Antonio, TX 78240-1482
Mailing address
8627 Cinnamon Creek Dr Ste 701
San Antonio, TX 78240-1482
Phone (210) 680-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84321 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1104599968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8627 CINNAMON CREEK DR STE 701",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401482",
"telephone_number": "210-680-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8627 CINNAMON CREEK DR STE 701",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401482",
"telephone_number": "210-680-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLILAND",
"first_name": "BROOKE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.