Individual provider Active NPI

Brooklyn Ariel Pete, LPC, LCDC-I

  • Professional Counselor
  • Cedar Hill, TX
National Provider Identifier
1639842305
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80663 Issued in TX
Practice address
320 W Pleasant Run Rd Apt 8202
Cedar Hill, TX 75104-0039
Phone
(512) 409-8441
NPI assigned
Jul 28, 2021
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 80663 TX Primary
Doula 374J00000X NU

Addresses

Primary practice location

320 W Pleasant Run Rd Apt 8202
Cedar Hill, TX 75104-0039

Mailing address

320 W Pleasant Run Rd Apt 8302
Cedar Hill, TX 75104-0040
Phone (512) 409-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80663TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 6, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Professional CurrentSince Jan 6, 2025 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Organizations & group practices 2

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1639842305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W PLEASANT RUN RD APT 8302",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751040040",
            "telephone_number": "512-409-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PLEASANT RUN RD APT 8202",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751040039",
            "telephone_number": "512-409-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETE",
        "first_name": "BROOKLYN",
        "middle_name": "ARIEL",
        "credential": "LPC, LCDC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80663",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.