NPIMap

Organization Active NPI

Elevation Etx PLLC

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1376495044
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATION ETX PLLC
Practice address
2341 Dueling Oaks Dr Ste 200
Tyler, TX 75703-0328
Phone
(903) 258-1675
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Susan Brooke Bagwell, LPCNPI 1174195200
Title
Owner
Phone
(903) 258-1675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2341 Dueling Oaks Dr Ste 200
Tyler, TX 75703-0328

Mailing address

2341 Dueling Oaks Dr Ste 200
Tyler, TX 75703-0328
Phone (903) 258-1675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1376495044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 DUELING OAKS DR STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030328",
            "telephone_number": "903-258-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 DUELING OAKS DR STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030328",
            "telephone_number": "903-258-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION ETX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-258-1675",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.