Thomas Brackendorff

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86381 Issued in TX

Practice address

4151 Southwest Fwy Ste 720
Houston, TX 77027-7308

Phone

(832) 205-8165

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shire Family Counseling PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1609621838
  NPD (past) Authorized official
• Andrew Brams, PH.D., PLLC

  • Psychologist
  • Houston, TX
  • NPI 1104625441
  NPD
• Serenity Solutions by Jeniffer

  • Professional Counselor
  • Houston, TX
  • NPI 1003355231
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1376116855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 SOUTHWEST FWY STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277308",
            "telephone_number": "832-205-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SOUTHWEST FWY STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277308",
            "telephone_number": "832-205-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Southwest Fwy Ste 860",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277143",
            "country_code": "US",
            "telephone_number": "281-557-6546 x12",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKENDORFF",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "86381",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86381",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Whittenburg Brack, M.D.
• Brooke Mills Bracke, PT, DPT
• Bracken Henry Hospice Solutions LLC
• Leah Kathleen Bracken
• Victoria Geny Bracken, RN
• Alandria S Brackens
• Emma Marie Brackett
• Julienne Brackett, M.D.
• Brackins & Associates
• Miranda Brackins

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.