Active NPI
Brock Ramirez
- Professional Counselor
- Denton, TX
National Provider Identifier
1205428653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84621
- Practice address
- 109 S Woodrow LN Ste 300
Denton, TX 76205-6324 - Phone
- (940) 765-6487
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84621 | TX | Primary |
Addresses
Primary practice location
109 S Woodrow LN Ste 300
Denton, TX 76205-6324
Mailing address
223 Lilac LN
Southlake, TX 76092-7411
Other practice location 1
6222 Colleyville Blvd Ste A
Colleyville, TX 76034-6275
Phone (817) 416-5867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 25, 2024 through Aug 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84621 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW Apple Dental, PC | 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.
-
- Dental Clinic/Center
- Colleyville, TX
- NPI 1598461295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1205428653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 LILAC LN",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S WOODROW LN STE 300",
"city": "DENTON",
"state": "TX",
"postal_code": "762056324",
"telephone_number": "940-765-6487"
}
],
"practiceLocations": [
{
"address_1": "6222 Colleyville Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760346275",
"country_code": "US",
"telephone_number": "817-416-5867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "BROCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.