Individual provider Active NPI

Alicia Brigham, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1376020958
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
70117 Issued in TX
Practice address
12959 Jupiter Rd Ste 140
Dallas, TX 75238-3200
Phone
(817) 879-2215
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 70117 TX Primary

Addresses

Primary practice location

12959 Jupiter Rd Ste 140
Dallas, TX 75238-3200

Mailing address

705 Bray Central Dr Apt 7306
Allen, TX 75013-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251202001629 TX Practitioner - Mental Health Counselor 7719470434 Reassigns benefits to 1 organization
I20260107003431 CA Practitioner - Mental Health Counselor 7719470434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

PO Box
Phoenix, AZ 85072

PO Box
Suite 52456
Phoenix, AZ 85072-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70117TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Sep 21, 2025 Accepting new patients
Mood Clinical, P. C. CurrentSince Oct 30, 2025 Accepting new patients
Glenn Medical Center, LLC PastSince Oct 30, 2025 Accepting new patients

Locations

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (619) 639-9738

980 W 17th St
Ste C
Santa Ana, CA 92706
Phone (714) 606-8185

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (512) 839-7478

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1376020958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BRAY CENTRAL DR APT 7306",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 JUPITER RD STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752383200",
            "telephone_number": "817-879-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "ALICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.