Individual provider Active NPI

Jeffrey Brandt Schulz, LPC, LCDC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1134645237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69691 Issued in TX
Practice address
412 North St Ste B
Nacogdoches, TX 75961-5070
Phone
(936) 615-0256
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11737 TX
Mental Health Counselor 101YM0800X 69691 TX
Professional Counselor 101YP2500X 69691 TX Primary

Addresses

Primary practice location

412 North St Ste B
Nacogdoches, TX 75961-5070

Mailing address

412 North St Ste B
Nacogdoches, TX 75961-5070
Phone (936) 615-0256

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
I20241024003956 TX Practitioner - Mental Health Counselor 0840723151 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
Connections Counseling and Psychological ServicesGroup PAC ID 7214260330, 5 clinicians

Practice addresses (Care Compare)

1609 W Frank Ave
Suite B
Lufkin, TX 75904-3193
Phone (936) 272-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69691TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling & Psychological Services Professional CurrentSince Jul 28, 2024 Accepting new patients

Locations

1609 W Frank Ave
Ste B
Lufkin, TX 75904
Phone (936) 272-0555

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134645237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NORTH ST STE B",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615070",
            "telephone_number": "936-615-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NORTH ST STE B",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615070",
            "telephone_number": "936-615-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "JEFFREY",
        "middle_name": "BRANDT",
        "name_prefix": "Mr.",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11737",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.