Individual provider Active NPI

Jazmine Brianna Brazle, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1538720164
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77495 Issued in TX
Practice address
8181 El Mundo St Apt 1402
Houston, TX 77054-4156
Phone
(713) 443-5717
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77495 TX
Professional Counselor 101YP2500X 77495 TX
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 77495 TX Primary
Mental Health Counselor 101YM0800X 77495

Addresses

Primary practice location

8181 El Mundo St Apt 1402
Houston, TX 77054-4156

Mailing address

8181 El Mundo St Apt 1402
Houston, TX 77054-4156
Phone (713) 443-5717

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bbrazletherapy@gmail.com Direct

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1538720164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 EL MUNDO ST APT 1402",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544156",
            "telephone_number": "713-443-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 EL MUNDO ST APT 1402",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544156",
            "telephone_number": "713-443-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZLE",
        "first_name": "JAZMINE",
        "middle_name": "BRIANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77495",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77495",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77495",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "77495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bbrazletherapy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5401 Chimney Rock Rd Apt 315",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770812046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 18, 2020; 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.