Active NPI
Brandy Adele Warren, LBSW-IP, LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1245471044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202032
- Practice address
- 4201 Medical Dr Ste 330
San Antonio, TX 78229-5805 - Phone
- (210) 664-1275
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202032 | TX | Primary |
| Case Manager/Care Coordinator | 171M00000X | 39290 | TX | |
| Social Worker | 104100000X | 39290 | TX |
Addresses
Primary practice location
4201 Medical Dr Ste 330
San Antonio, TX 78229-5805
Mailing address
17803 Theisswood LN
Spring, TX 77379-6119
Phone (832) 264-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202032 | TX | MD | Marriage & Family Therapist |
| 39290 | TX | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1245471044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17803 THEISSWOOD LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773796119",
"telephone_number": "832-264-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MEDICAL DR STE 330",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295805",
"telephone_number": "210-664-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "BRANDY",
"middle_name": "ADELE",
"credential": "LBSW-IP, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2022-10-14",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202032",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "39290",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "39290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.