Brenda Darlene Elledge, M.ED, L.P.C.-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16976 Issued in TX

Practice address

328 Pebblebrook
Glenn Heights, TX 75154

Phone

(972) 268-3096

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Brenda Darlene Esparza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Elledge Counseling Associates

  • Mental Health Counselor
  • Glenn Heights, TX
  • NPI 1356881668
  NPD (past) Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1164962460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 PEBBLEBROOK",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "75154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 PEBBLEBROOK",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "75154",
            "telephone_number": "972-268-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "BRENDA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, L.P.C.-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "ESPARZA",
            "middle_name": "DARLENE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Dade, LMT
• Barbara Jean Donehue
• Nekaya Duffey, LPC
• E & K Industries
• Elledge Counseling Associates
• Fuller Care LLC
• Wanda Lavon Gates, NURSE
• Stephanie Julieth Gaytan, FNP-C
• Rachel M. Gibson, L.P.C.
• Rollins Gilmore, QMHP

• Mental Health Counselor in Glenn Heights, TX
• Providers in Glenn Heights, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.