Individual provider Active NPI

Brandi Lee Garza, MA, LPC

  • Professional Counselor
  • Wylie, TX
National Provider Identifier
1114697406
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69055 Issued in TX
Practice address
2300 W FM 544 Ste 245
Wylie, TX 75098-4931
Phone
(214) 307-9546
Fax
(214) 299-9933
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69055 TX Primary

Addresses

Primary practice location

2300 W FM 544 Ste 245
Wylie, TX 75098-4931

Mailing address

311 Scenic Dr
Heath, TX 75032-8619
Phone (214) 284-6800

Other practice location 1

311 Scenic Dr
Heath, TX 75032-8619
Phone (214) 284-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708000457 TX Practitioner - Mental Health Counselor 6608218763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie Mental Health of Wylie - Royse City PLLCGroup PAC ID 3971945031, 2 clinicians

Practice addresses (Care Compare)

2300 W FM
544 Suite 245
Wylie, TX 75098-4931
Phone (214) 307-9546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
69055TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mud Hook Mental Health PLLC CurrentSince Mar 8, 2023 Accepting new patients

Locations

2300 W FM 544
Ste 245
Wylie, TX 75098
Phone (214) 307-9546

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1114697406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SCENIC DR",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750328619",
            "telephone_number": "214-284-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 245",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984931",
            "telephone_number": "214-307-9546",
            "fax_number": "214-299-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Heath",
            "state": "TX",
            "postal_code": "750328619",
            "country_code": "US",
            "telephone_number": "214-284-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.