Individual provider Active NPI

Trisha Danielle Broadright, LPC

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1588049951
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74564 Issued in TX
Practice address
301 S Rogers St Ste 205
Waxahachie, TX 75165-3348
Phone
(719) 685-6729
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0013894 CO
Professional Counselor 101YP2500X 74564 TX Primary

Addresses

Primary practice location

301 S Rogers St Ste 205
Waxahachie, TX 75165-3348

Mailing address

301 S Rogers St Ste 205
Waxahachie, TX 75165-3348
Phone (719) 685-6729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240326000172 CO Practitioner - Mental Health Counselor 1759728868 Reassigns benefits to 1 organization
I20240326000763 TX Practitioner - Mental Health Counselor 1759728868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (800) 997-6196

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0013894COMDProfessional Counselor
74564TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 28, 2024 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Apr 3, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 30, 2024 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: trisha.broadright.1@30520.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1588049951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S ROGERS ST STE 205",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653348",
            "telephone_number": "719-685-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ROGERS ST STE 205",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653348",
            "telephone_number": "719-685-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADRIGHT",
        "first_name": "TRISHA",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.