Organization Active NPI

Brackins & Associates

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1518177856
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11795 Issued in TX
Legal business name
BRACKINS & ASSOCIATES
Practice address
525 N Sam Houston Pkwy E
Suite 597
Houston, TX 77060-4037
Phone
(281) 272-1115
Fax
(281) 272-1117
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mrs. Doris Gail Brackins, LCSW, SAPNPI 1225252141
Title
Sole Proprietor/Psychotherapist
Phone
(281) 272-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 10580 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 11795 TX Primary

Addresses

Primary practice location

525 N Sam Houston Pkwy E
Suite 597
Houston, TX 77060-4037

Mailing address

525 N Sam Houston Pkwy E
Suite 597
Houston, TX 77060-4037
Phone (281) 272-1115

Other identifiers 1

IdentifierTypeStateIssuer
142403801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000775 TX Part B Supplier - Clinic/Group Practice 1254360951 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

6250 Westpark Dr
Ste 305
Houston, TX 77057
Phone (713) 785-4711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1518177856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 597",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604037",
            "telephone_number": "281-272-1115",
            "fax_number": "281-272-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 597",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604037",
            "telephone_number": "281-272-1115",
            "fax_number": "281-272-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKINS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "BRACKINS",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "281-272-1115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10580",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "11795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142403801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.