Individual provider Active NPI

Brandi Herzog, ATR, LPC-S

  • Professional Counselor
  • Carrollton, TX
National Provider Identifier
1376052787
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74921 Issued in TX
Practice address
1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13294 TX
Mental Health Counselor 101YM0800X 74921 TX
Art Therapist 221700000X 74921 TX
Professional Counselor 101YP2500X 74921 TX Primary

Addresses

Primary practice location

1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006

Mailing address

1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006
Phone (844) 824-8775

Other practice location 1

3010 Scott Blvd Ste 103
Temple, TX 76504-6803
Phone (844) 824-8775

Other practice location 2

11300 N Central Expy Ste 400
Dallas, TX 75243-6712
Phone (844) 824-8775

Other practice location 3

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

Other identifiers 1

IdentifierTypeStateIssuer
17-104OtherATCB CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240625000704 TX Practitioner - Mental Health Counselor 0345783866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

1735 Keller Springs Rd
Suite 202
Carrollton, TX 75006-3006
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13294TXMDGeneral Practice Dentistry
74921TXMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) CurrentSince May 17, 2024 Accepting new patients

Locations

1735 Keller Springs Rd
Ste 202
Carrollton, TX 75006
Phone (214) 230-1234

11300 N Central Expy
Ste 400
Dallas, TX 75243
Phone (469) 579-2264

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

3010 Legacy Dr
Ste 220
Frisco, TX 75034
Phone (214) 318-8402

1300 S University Dr
Ste 306
Ft Worth, TX 76107
Phone (817) 410-7300

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

5300 Democracy Dr
Ste 110
Plano, TX 75024
Phone (469) 607-0076

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

3010 Scott Blvd
Ste 103
Temple, TX 76504
Phone (254) 773-4022

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1376052787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063006",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063006",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Scott Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046803",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 N Central Expy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752436712",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 S Friendswood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775463989",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "BRANDI",
        "credential": "ATR, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13294",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74921",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "TX",
            "license": "74921",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATCB CERTIFICATION",
            "identifier": "17-104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.