Individual provider Active NPI

Elaine Love Brandon, LPC-S

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1467571034
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14810 Issued in TX
Practice address
430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772
Phone
(844) 824-8775
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14810 TX
Professional Counselor 101YP2500X 14810 TX Primary

Addresses

Primary practice location

430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772

Mailing address

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

Other practice location 1

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746
Phone (844) 824-8775

Other identifiers 1

IdentifierTypeStateIssuer
149161501MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514001559 TX Practitioner - Mental Health Counselor 8022459692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

430 W Sunset Rd
Suite 400
San Antonio, TX 78209-1772
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14810TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Apr 7, 2024 Accepting new patients

Locations

1515 S Capital of Texas Hwy
Ste 300
Austin, TX 78746
Phone (512) 736-6743

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

11300 N Central Expy
Ste 400
Dallas, TX 75243
Phone (469) 579-2264

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

1300 S University Dr
Ste 306
Ft Worth, TX 76107
Phone (817) 410-7300

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

161 W 3rd St
#100
Prosper, TX 75078

430 W Sunset Rd
Ste 400
San Antonio, TX 78209
Phone (210) 858-9078

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

510 Austin Ave
Waco, TX 76701
Phone (254) 224-5757

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1467571034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W SUNSET RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091772",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S University Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075746",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "ELAINE",
        "middle_name": "LOVE",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14810",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149161501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.