Brittany Fellwock, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76947 Issued in TX

Practice address

4601 Spicewood Springs Rd.
Building 3, Suite 200
Austin, TX 78759-8598

Phone

(512) 503-0700

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 28, 2024 through May 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emdr Therapy Austin PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1417415514
  NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1568920668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD.",
            "address_2": "BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-503-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD.",
            "address_2": "BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-503-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLWOCK",
        "first_name": "BRITTANY",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufunke Uwuma Felix, PSY.D.
• Barbara Joyce Felkins, M.D.
• Ryan Fell, DMD
• Arthur Rolland Fellows, PHD
• Luz Ileana Fellows, RD
• Yvonne Marie Feltman, LCSW
• Kylie Christine Felty, RD, LD
• Laurence Edward Fendrich, D.M.D.
• Jinzhi Feng
• Malka Fenig, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.