Individual provider Active NPI

Mary Branson, LPC, LMFT

  • Marriage & Family Therapist
  • The Woodlands, TX
National Provider Identifier
1164587093
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4880 Issued in TX
Practice address
431 Nursery Rd
Suite B-700
The Woodlands, TX 77380-1946
Phone
(832) 326-5972
Fax
(281) 419-0879
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15473 TX
Marriage & Family Therapist 106H00000X 4880 TX Primary

Addresses

Primary practice location

431 Nursery Rd
Suite B-700
The Woodlands, TX 77380-1946

Mailing address

431 Nursery Rd
Suite B-700
The Woodlands, TX 77380-1946
Phone (832) 326-5972

Other identifiers 2

IdentifierTypeStateIssuer
10009415MedicaidTX
0281214-01MedicaidTX

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

LicenseStateTypeSpecialty
4880TXMDChiropractor
15473TXMDPediatric Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1164587093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD",
            "address_2": "SUITE B-700",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801946",
            "telephone_number": "832-326-5972",
            "fax_number": "281-419-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD",
            "address_2": "SUITE B-700",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801946",
            "telephone_number": "832-326-5972",
            "fax_number": "281-419-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "MARY",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15473",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10009415",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281214-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.