Individual provider Active NPI

Brenda Barroso, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1154873172
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72173 Issued in TX
Practice address
3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502
Phone
(210) 826-9599
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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 72173 TX Primary

Addresses

Primary practice location

3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502

Mailing address

PO Box 700152
San Antonio, TX 78270-0152
Phone (210) 421-9008

Other practice location 1

15019 Oak Briar
San Antonio, TX 78232-5497
Phone (210) 421-9008

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
I20250103002126 TX Practitioner - Mental Health Counselor 7810424876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72173TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ithrive Counseling Services, PLLC CurrentSince Nov 26, 2024 Accepting new patients
Palmer Counseling Consulting Coaching Incorporated Past Accepting new patients

Locations

3030 Nacogdoches Rd
Ste 101
San Antonio, TX 78217
Phone (210) 826-9599

Organizations & group practices 2

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1154873172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700152",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700152",
            "telephone_number": "210-421-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174502",
            "telephone_number": "210-826-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15019 Oak Briar",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782325497",
            "country_code": "US",
            "telephone_number": "210-421-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "BRENDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.