Active NPI
Carolyn Brewer
- Counselor
- Round Rock, TX
National Provider Identifier
1477877447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65481
- Practice address
- 1970 Rawhide Dr
Suite 318
Round Rock, TX 78681-6957 - Phone
- (512) 388-3638
- Fax
- (512) 388-3634
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 65481 | TX | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
1970 Rawhide Dr
Suite 318
Round Rock, TX 78681-6957
Mailing address
1970 Rawhide Dr
Suite 318
Round Rock, TX 78681-6957
Phone (512) 388-3638
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 |
|---|---|---|---|
| 65481 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brewer & Easter Enterprises, PLLC | Professional | Past | Accepting new patients |
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": "1269043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269043200000",
"number": "1477877447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 RAWHIDE DR",
"address_2": "SUITE 318",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816957",
"telephone_number": "512-388-3638",
"fax_number": "512-388-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 RAWHIDE DR",
"address_2": "SUITE 318",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816957",
"telephone_number": "512-388-3638",
"fax_number": "512-388-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-20",
"last_updated": "2010-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65481",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.