Stephanie Brenner Brandt, LPC AT LMFT CGP MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

09528 Issued in TX

Practice address

16300 Katy Fwy Ste 100
Houston, TX 77094-1600

Phone

(281) 685-2199

Fax

(281) 492-2751

NPI assigned

Sep 28, 2006

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stephanie B Brandt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1639261902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820466",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772820466",
            "telephone_number": "281-685-2199",
            "fax_number": "281-492-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 KATY FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941600",
            "telephone_number": "281-685-2199",
            "fax_number": "281-492-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "STEPHANIE",
        "middle_name": "BRENNER",
        "credential": "LPC AT LMFT CGP MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "09528",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "0042290042385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1946LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BRANDT",
            "middle_name": "B",
            "credential": "LPC AT LMFT CGP MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dennis M Brando, D.C.
• Judith Brandon, FNP
• Thomas R Brandon, M.D.
• Charles Philip Brandt II, PH.D.
• Reagan Brandt
• Sebia Brandy
• Paula Le'Chelle Brandyberg-Ikwuagwu, RRT
• Miriam Amanda Branham, MS, CCC SLP
• Anthony Julio Branker, D.C., M.S., DACBSP
• Christopher Scott Brann, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.