Active NPI
Brenda Sue Faulkner, LPC
- Professional Counselor
- Dublin, TX
National Provider Identifier
1114947330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16697
- Practice address
- 14767 S US Highway 377
Dublin, TX 76446-4371 - Phone
- (254) 485-0444
- Fax
- (254) 445-4742
- NPI assigned
- Jul 20, 2006
- Last updated
- Dec 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16697 | TX | Primary |
Addresses
Primary practice location
14767 S US Highway 377
Dublin, TX 76446-4371
Mailing address
2016 County Road 284
Dublin, TX 76446-7001
Phone (254) 445-4503
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 |
|---|---|---|---|
| 16697 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1114947330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 COUNTY ROAD 284",
"city": "DUBLIN",
"state": "TX",
"postal_code": "764467001",
"telephone_number": "254-445-4503",
"fax_number": "254-445-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14767 S US HIGHWAY 377",
"city": "DUBLIN",
"state": "TX",
"postal_code": "764464371",
"telephone_number": "254-485-0444",
"fax_number": "254-445-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "BRENDA",
"middle_name": "SUE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, TX
- Kimberly Ann Davis
- Dr. Jeffrey C. Hutchins
- Jeanne-Anne Drummond, COTA
- Dublin Family Dentistry, P.C.
- Dublin Independent School District
- Fibromyalgis and Chronic Pain Assocs.
- Angelee Gibson
- Golden Age HH Opco LLC (Golden Age Healthcare Residence)
- Golden Age Mnagement Company, LLC (Golden Age Manor Nursing Home)
- Golden HC Operator LLC (Golden Age Healthcare Residence)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.