Active NPI
Elaine Love Brandon, LPC-S
- Professional Counselor
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149161501 | Medicaid | TX |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14810 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.