Active NPI
George Randall Brazzel, MA, LPC, LMFT
- Professional Counselor
- Houston, TX
National Provider Identifier
1164537460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9330
- Practice address
- 1345 Space Park Dr Ste D
Houston, TX 77058-3469 - Phone
- (281) 333-3246
- Fax
- (281) 333-0221
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- 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 | 9330 | TX | Primary |
Addresses
Primary practice location
1345 Space Park Dr Ste D
Houston, TX 77058-3469
Mailing address
1345 Space Park Dr Ste D
Houston, TX 77058-3469
Phone (281) 333-3246
Other names 1
- Randy Brazzel
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9330 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mhthrive, PLLC | Current | Accepting new patients | |
| MH Psych PLLC | Current | Accepting new patients | |
| New Dimensions Day Hospital | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1265160519
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1245969336
-
- Psychiatric Hospital
- Houston, TX
- NPI 1851406169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164537460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 SPACE PARK DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583469",
"telephone_number": "281-333-3246",
"fax_number": "281-333-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 SPACE PARK DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583469",
"telephone_number": "281-333-3246",
"fax_number": "281-333-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZZEL",
"first_name": "GEORGE",
"middle_name": "RANDALL",
"name_prefix": "Mr.",
"credential": "MA, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "BRAZZEL",
"credential": "MA, LPC, LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
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- Brazos Valley Post Acute Physician and Associates PLLC
- Dayannis Brea Nunez
- Bread of Life Care Services, Inc.
- Bread of Life Healthcare Provider
- Bread of Life Pediatrics PLLC
- Bread of Life, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.