Bran New Genesis Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68759 Issued in TX

Legal business name

BRAN NEW GENESIS COUNSELING SERVICES

Practice address

6201 Bonhomme Rd
460-S
Houston, TX 77036-4365

Phone

(800) 905-1240

Fax

(888) 972-6447

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandelyn L Williams, MA, MS, LPC

Title

Licensed Professional Counselor

Phone

(800) 905-1240

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1487071148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 OAK LAKE PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987010",
            "telephone_number": "800-905-1240",
            "fax_number": "888-972-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD",
            "address_2": "460-S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "800-905-1240",
            "fax_number": "888-972-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAN NEW GENESIS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDELYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "800-905-1240",
        "authorized_official_credential": "MA, MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321199701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.