Organization Active NPI

Broken Halo Counseling Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
National Provider Identifier
1407765563
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROKEN HALO COUNSELING CENTER, PLLC
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(254) 489-5708
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Brandon Matthew Canter, LPC
Title
LPC
Phone
(865) 456-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

8221 Broken Rock LN
Knoxville, TN 37924-4433
Phone (865) 456-9034

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1407765563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 BROKEN ROCK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379244433",
            "telephone_number": "865-456-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "254-489-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN HALO COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "CANTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "865-456-9034",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.