Individual provider Active NPI

Brenda Leiber, M.A., LPC, LPA

  • Mental Health Counselor
  • Stafford, TX
National Provider Identifier
1336296524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15050 Issued in TX
Practice address
4800 Sugar Grove Blvd
Suite 350
Stafford, TX 77477-2635
Phone
(281) 491-4455
Fax
(281) 491-3565
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15050 TX Primary

Addresses

Primary practice location

4800 Sugar Grove Blvd
Suite 350
Stafford, TX 77477-2635

Mailing address

PO Box 1205
Stafford, TX 77497-1205
Phone (281) 491-4455

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
15050TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336296524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774971205",
            "telephone_number": "281-491-4455",
            "fax_number": "281-491-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SUGAR GROVE BLVD",
            "address_2": "SUITE 350",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772635",
            "telephone_number": "281-491-4455",
            "fax_number": "281-491-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBER",
        "first_name": "BRENDA",
        "credential": "M.A., LPC, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.