Individual provider Active NPI

Brooke Nicole Pendleton, LPC, NCC, MA

  • Professional Counselor
  • West Lake Hills, TX
National Provider Identifier
1497427124
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80091 Issued in TX
Practice address
205 Wild Basin Rd Ste 3-105
West Lake Hills, TX 78746-3341
Phone
(512) 843-3484
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80091 TX Primary

Addresses

Primary practice location

205 Wild Basin Rd Ste 3-105
West Lake Hills, TX 78746-3341

Mailing address

205 Wild Basin Rd Ste 3-105
West Lake Hills, TX 78746-3341
Phone (512) 843-3484

Other names 1

  • Brooke Nicole Nowak Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
80091TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1497427124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD STE 3-105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463341",
            "telephone_number": "512-843-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD STE 3-105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463341",
            "telephone_number": "512-843-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "NOWAK",
            "middle_name": "NICOLE",
            "credential": "LPC ASSOCIATE, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.