Active NPI
Jennifer Anne Brabham, MS, LPC
- Professional Counselor
- Pearland, TX
National Provider Identifier
1447559877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62453
- Practice address
- 1506 E. Broadway
Suite 101
Pearland, TX 77581 - Phone
- (832) 721-9819
- NPI assigned
- Mar 24, 2011
- 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 | 62453 | TX | Primary |
Addresses
Primary practice location
1506 E. Broadway
Suite 101
Pearland, TX 77581
Mailing address
1506 E. Broadway
Suite 101
Pearland, TX 77581
Phone (832) 721-9819
Other practice location 1
930 W Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6664
Phone (214) 646-3789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62453 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1447559877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 E. BROADWAY",
"address_2": "SUITE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "832-721-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 E. BROADWAY",
"address_2": "SUITE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "832-721-9819"
}
],
"practiceLocations": [
{
"address_1": "930 W Ralph Hall Pkwy Ste 114",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750326664",
"country_code": "US",
"telephone_number": "214-646-3789",
"fax_number": "214-261-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRABHAM",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.