Individual provider Active NPI

Brenda M Estrello, MS, L.P.C.

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1598972697
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61365 Issued in TX
Practice address
2709 S Lamar Blvd Ste 112
Austin, TX 78704-4757
Phone
(512) 785-0055
NPI assigned
May 17, 2007
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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 61365 TX Primary

Addresses

Primary practice location

2709 S Lamar Blvd Ste 112
Austin, TX 78704-4757

Mailing address

7631 Highway 290 W Apt 722
Austin, TX 78736-3620
Phone (512) 785-0055

Other identifiers 1

IdentifierTypeStateIssuer
185219602MedicaidTX

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 Science

State licenses

LicenseStateTypeSpecialty
61365TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Counseling P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1598972697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 HIGHWAY 290 W APT 722",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787363620",
            "telephone_number": "512-785-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 S LAMAR BLVD STE 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044757",
            "telephone_number": "512-785-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLO",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "MS, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185219602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.