Organization Active NPI

Wylie Counseling Associates, PLLC

  • Professional Counselor
  • Wylie, TX
National Provider Identifier
1205086295
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62714 Issued in TX
Legal business name
WYLIE COUNSELING ASSOCIATES, PLLC
Practice address
100 N 1St St
Wylie, TX 75098-4473
Phone
(469) 757-4525
Fax
(469) 757-4525
NPI assigned
Sep 25, 2008
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Kevin J Bruner, LPCNPI 1235306978
Title
Director
Phone
(469) 757-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62714 TX Primary

Addresses

Primary practice location

100 N 1St St
Wylie, TX 75098-4473

Mailing address

714 Ireland Way
Wylie, TX 75098-6011
Phone (469) 757-4525

National Provider Directory

National Provider Directory

Locations

100 N 1st St
Wylie, TX 75098
Phone (469) 757-4525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1205086295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 IRELAND WAY",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986011",
            "telephone_number": "469-757-4525",
            "fax_number": "469-757-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 1ST ST",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984473",
            "telephone_number": "469-757-4525",
            "fax_number": "469-757-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-757-4525",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.