Active NPI
Katherine Shea Brubaker, M.ED, LPC, RPT
- Counselor
- Kingwood, TX
National Provider Identifier
1124266531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16043
- Practice address
- 1308 Kingwood Dr
Kingwood, TX 77339-3146 - Phone
- (713) 481-2808
- Fax
- (713) 481-2805
- NPI assigned
- Jan 23, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16043 | TX | Primary |
Addresses
Primary practice location
1308 Kingwood Dr
Kingwood, TX 77339-3146
Mailing address
4501 Magnolia Cove Dr Ste 201
Kingwood, TX 77345-2252
Phone (832) 233-5714
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16043 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1124266531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 MAGNOLIA COVE DR STE 201",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773452252",
"telephone_number": "832-233-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 KINGWOOD DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393146",
"telephone_number": "713-481-2808",
"fax_number": "713-481-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUBAKER",
"first_name": "KATHERINE",
"middle_name": "SHEA",
"credential": "M.ED, LPC, RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "16043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.