Individual provider Active NPI

Blaire Michelle Brorman, LPC ASSOCIATE

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1225828452
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
98811 Issued in TX
Practice address
625 Dallas Dr Ste 100
Denton, TX 76205-7289
Phone
(940) 395-4455
NPI assigned
May 9, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 98811 TX Primary

Addresses

Primary practice location

625 Dallas Dr Ste 100
Denton, TX 76205-7289

Mailing address

9150 S Coulter St Apt 1423
Amarillo, TX 79119-5906
Phone (806) 670-5138

Other practice location 1

9150 S Coulter St Apt 1423
Amarillo, TX 79119-5906
Phone (806) 670-5138

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

State licenses

LicenseStateTypeSpecialty
98811TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rising Counseling Professional CurrentSince Jun 3, 2025 Accepting new patients

Locations

625 Dallas Dr
Ste 100
Denton, TX 76205
Phone (940) 395-4455

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1225828452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 S COULTER ST APT 1423",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791195906",
            "telephone_number": "806-670-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DALLAS DR STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057289",
            "telephone_number": "940-395-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 S Coulter St Apt 1423",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791195906",
            "country_code": "US",
            "telephone_number": "806-670-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRORMAN",
        "first_name": "BLAIRE",
        "middle_name": "MICHELLE",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "98811",
            "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 May 29, 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.