Active NPI
Naomi Brooke Mandel, LMFT, LPC
- Marriage & Family Therapist
- Boerne, TX
National Provider Identifier
1467765206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201071
- Practice address
- 1430 S Main St
Suite #111
Boerne, TX 78006-3332 - Phone
- (830) 446-3355
- NPI assigned
- Jul 22, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62911 | TX | |
| Marriage & Family Therapist | 106H00000X | 201071 | TX | Primary |
Addresses
Primary practice location
1430 S Main St
Suite #111
Boerne, TX 78006-3332
Mailing address
1430 S Main St
Suite #111
Boerne, TX 78006-3332
Phone (830) 446-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62911 | TX | MD | Clinical Social Worker |
| 201071 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1467765206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 S MAIN ST",
"address_2": "SUITE #111",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063332",
"telephone_number": "830-446-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 S MAIN ST",
"address_2": "SUITE #111",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063332",
"telephone_number": "830-446-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "NAOMI",
"middle_name": "BROOKE",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62911",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.