Individual provider Active NPI

Joseph Samuel Brillon, M.A.

  • Mental Health Counselor
  • Richardson, TX
National Provider Identifier
1255925483
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85278 Issued in TX
Practice address
718 W Arapaho Rd Ste 100a
Richardson, TX 75080-4160
Phone
(214) 530-2324
NPI assigned
Feb 28, 2021
Last updated
Feb 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 85278 TX Primary

Addresses

Primary practice location

718 W Arapaho Rd Ste 100a
Richardson, TX 75080-4160

Mailing address

6843 Del Norte LN
Dallas, TX 75225-2552
Phone (281) 761-4190

Other names 1

  • Joseph Samuel Brillon Former name

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
85278TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1255925483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 DEL NORTE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752252552",
            "telephone_number": "281-761-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W ARAPAHO RD STE 100A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804160",
            "telephone_number": "214-530-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLON",
        "first_name": "JOSEPH",
        "middle_name": "SAMUEL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "BRILLON",
            "middle_name": "SAMUEL",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.