Individual provider Active NPI

Megan Holden Brissenden, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1285864603
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51454 Issued in TX
Practice address
20035 W Lake Houston Pkwy
Kingwood, TX 77346-3435
Phone
(281) 740-9436
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 51454 TX Primary

Addresses

Primary practice location

20035 W Lake Houston Pkwy
Kingwood, TX 77346-3435

Mailing address

3739 Rocky Woods Dr
Kingwood, TX 77339-2610
Phone (281) 740-9436

Other names 1

  • Miss Megan Eileen Holden Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51454TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Centered Psychiatry PLLC PastSince Apr 9, 2024 Accepting new patients

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1285864603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 ROCKY WOODS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392610",
            "telephone_number": "281-740-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20035 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773463435",
            "telephone_number": "281-740-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSENDEN",
        "first_name": "MEGAN",
        "middle_name": "HOLDEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HOLDEN",
            "middle_name": "EILEEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.