Active NPI
Brenda Drage-Chan, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1316459654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69333
- Practice address
- 607 Rathervue PL
Austin, TX 78705-3127 - Phone
- (512) 469-9447
- Fax
- (512) 451-9694
- NPI assigned
- Oct 26, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69333 | TX | Primary |
Addresses
Primary practice location
607 Rathervue PL
Austin, TX 78705-3127
Mailing address
607 Rathervue PL
Austin, TX 78705-3127
Phone (512) 469-9447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69333 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Institute | Past | 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.
-
- Mental Health Counselor
- Austin, TX
- NPI 1952495467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1316459654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 RATHERVUE PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053127",
"telephone_number": "512-469-9447",
"fax_number": "512-451-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 RATHERVUE PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053127",
"telephone_number": "512-469-9447",
"fax_number": "512-451-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGE-CHAN",
"first_name": "BRENDA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Dr.Emily Lain Professional Corporation (Lifetime Wellness Chiropractic)
- Dr.Ngocphuongtran,DO, PA
- Shannon Smith Drachenberg, PA-C
- Draco Services 2, Inc
- Draco Services, Inc.
- Dragon Acupuncture Clinic
- Drake Chiropractic of Austin, Inc
- Ann M Drake, MA RN CS LMFT
- Keith Dean Drake, NREMT-PARAMEDIC
- Lorena Drakes, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.