Organization Active NPI

CPRC Holding LLC

  • Counselor
  • Spring, TX
National Provider Identifier
1609093707
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
60602 Issued in TX
Legal business name
CPRC HOLDING LLC
Practice address
25134 Oakhurst Dr
Spring, TX 77386-1421
Phone
(281) 630-3721
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Glenn Bricken, PSYDNPI 1821067380
Title
Clinical Director
Phone
(281) 364-0067

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 60602 TX Primary

Addresses

Primary practice location

25134 Oakhurst Dr
Spring, TX 77386-1421

Mailing address

25134 Oakhurst Dr
Spring, TX 77386-1421
Phone (281) 630-3721

National Provider Directory

National Provider Directory
Tax ID family
Chronic Pain Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1609093707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25134 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861421",
            "telephone_number": "281-630-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25134 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861421",
            "telephone_number": "281-630-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPRC HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BRICKEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-364-0067",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "60602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.