Active NPI
Sandra Bravo, LPC INTERN
- Professional Counselor
- Killeen, TX
National Provider Identifier
1376801993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69167
- Practice address
- 100 E Central Texas Expy Ste 100
Killeen, TX 76541-8509 - Phone
- (254) 501-3555
- Fax
- (254) 501-3554
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69167 | TX | Primary |
Addresses
Primary practice location
100 E Central Texas Expy Ste 100
Killeen, TX 76541-8509
Mailing address
4226 Lakecliff Dr
Harker Heights, TX 76548-8611
Phone (254) 537-3123
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69167 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Corporate Training and Seminar Services | Current | Accepting new patients | |
| Bravo Counseling Center, PLLC | Current | Accepting new patients | |
| Killeen Injury Clinic, Inc. | Professional | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
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 and National Provider Directory roles.
-
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- Austin, TX
- NPI 1760957765
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
- NPI 1801372859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1376801993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4226 LAKECLIFF DR",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765488611",
"telephone_number": "254-537-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CENTRAL TEXAS EXPY STE 100",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765418509",
"telephone_number": "254-501-3555",
"fax_number": "254-501-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "SANDRA",
"credential": "LPC INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.