Patricia Linda Campos-Brenner, M.A., LPC-ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

90671 Issued in TX

Practice address

309 N Washington Ave Ste 12
Bryan, TX 77803-5369

Phone

(800) 689-0250

NPI assigned

Jan 14, 2025

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

• Tricia Campos-Brenner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Lifegrowth Psychological Services

  • Psychologist
  • Boyertown, PA
  • NPI 1396063806
  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1194536862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PAINTBRUSH CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455936",
            "telephone_number": "979-220-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N WASHINGTON AVE STE 12",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778035369",
            "telephone_number": "800-689-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS-BRENNER",
        "first_name": "PATRICIA",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "CAMPOS-BRENNER",
            "credential": "M.A., LPC-ASSOCIATE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rodrigo Esteban Campana, M.D.
• Abby Elizabeth Campbell
• James M Campbell, MD
• Jenna Campbell, PT, DPT
• Iesha Lanae Camper
• Emily B Campos
• Oralio Campos, RBT
• Rania Cannaday, M.D.
• Aisha Monique Cantu
• Javier Cantu Jr.

• Professional Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.