Individual provider Active NPI

Brittany Inez-Krsytal Reynolds, MS, LPC, NCC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1184202160
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84374 Issued in TX
Practice address
1910 Pacific Ave Ste 12020
Dallas, TX 75201-4529
Phone
(214) 233-6019
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84374 TX Primary

Addresses

Primary practice location

1910 Pacific Ave Ste 12020
Dallas, TX 75201-4529

Mailing address

1910 Pacific Ave Ste 12020
Dallas, TX 75201-4529
Phone (214) 233-6019

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brittany@beementalhealth.com Direct

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 Science

State licenses

LicenseStateTypeSpecialty
84374TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Broken Pieces Counseling & Consulting Services Mental Health Past Accepting new patients

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1184202160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 12020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014529",
            "telephone_number": "214-233-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 12020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014529",
            "telephone_number": "214-233-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "middle_name": "INEZ-KRSYTAL",
        "name_prefix": "Miss",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brittany@beementalhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1910 Pacific Ave Ste 12020",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752014529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.