Active NPI
Ty Patterson, LPC-ASSOCIATE
- Mental Health Counselor
- Stafford, TX
National Provider Identifier
1104788769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 99948
- Practice address
- 4800 Sugar Grove Blvd Ste 275
Stafford, TX 77477-2150 - Phone
- (979) 985-2835
- NPI assigned
- Dec 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99948 | TX | Primary |
Addresses
Primary practice location
4800 Sugar Grove Blvd Ste 275
Stafford, TX 77477-2150
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other practice location 1
10514 Oberrender Rd
Needville, TX 77461-5700
Phone (979) 985-2835
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 |
|---|---|---|---|
| 99948 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1104788769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SUGAR GROVE BLVD STE 275",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772150",
"telephone_number": "979-985-2835"
}
],
"practiceLocations": [
{
"address_1": "10514 Oberrender Rd",
"address_purpose": "LOCATION",
"city": "Needville",
"state": "TX",
"postal_code": "774615700",
"country_code": "US",
"telephone_number": "979-985-2835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "TY",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-02",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "99948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.