Organization Active NPI

Brooktree Counseling and Consulting, PLLC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1215798467
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BROOKTREE COUNSELING AND CONSULTING, PLLC
Practice address
5995 Summerside Dr Unit 794861
Dallas, TX 75379-0081
Phone
(469) 589-1727
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
L. Nichelle Chandler
Title
Psychotherapist/Own
Phone
(469) 589-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

5995 Summerside Dr Unit 794861
Dallas, TX 75379-0081

Mailing address

PO Box 794861
Dallas, TX 75379-4861

National Provider Directory

National Provider Directory

Locations

5995 Summerside Dr
Unit 794861
Dallas, TX 75379
Phone (469) 589-1727

Practitioners & affiliated clinicians

Practitioners 1

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1215798467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794861",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753794861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SUMMERSIDE DR UNIT 794861",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753790081",
            "telephone_number": "469-589-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKTREE COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "L. NICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWN",
        "authorized_official_telephone_number": "469-589-1727"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 16, 2024; 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.