Individual provider Active NPI

Tammera Susan Brown, MA, LPC

  • Professional Counselor
  • Bryan, TX
National Provider Identifier
1245267111
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11313675 Issued in TX
Practice address
1713 Broadmoor Dr Ste 406
Bryan, TX 77802-5220
Phone
(979) 776-0930
Fax
(979) 776-0930
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 11313675 TX Primary

Addresses

Primary practice location

1713 Broadmoor Dr Ste 406
Bryan, TX 77802-5220

Mailing address

2813 Apple Creek Cir
Bryan, TX 77802-2904
Phone (979) 820-1137

Other identifiers 2

IdentifierTypeStateIssuer
0263212-01MedicaidTX
2879 LCOtherTXBLUE CROSS NUMBER

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11313675TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tammera S. Brown Professional CurrentSince Jul 31, 2022 Accepting new patients

Locations

1713 Broadmoor Dr
Ste 406
Bryan, TX 77802
Phone (979) 776-0930

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1245267111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 APPLE CREEK CIR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022904",
            "telephone_number": "979-820-1137",
            "fax_number": "979-774-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 BROADMOOR DR STE 406",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025220",
            "telephone_number": "979-776-0930",
            "fax_number": "979-776-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAMMERA",
        "middle_name": "SUSAN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11313675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263212-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "2879 LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.