Individual provider Active NPI

Brandy Prabucki

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1699178806
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71251 Issued in TX
Practice address
1919 North Loop W
Suite 130
Houston, TX 77008-1374
Phone
(713) 523-4333
Fax
(713) 523-4493
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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 71251 TX Primary

Addresses

Primary practice location

1919 North Loop W
Suite 130
Houston, TX 77008-1374

Mailing address

1919 North Loop W
Suite 130
Houston, TX 77008-1374
Phone (713) 523-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
71251TXMDProfessional Counselor
18345NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Mind-Body Counseling, LLC Past Accepting new patients
Wellcomemd NC Clinic PLLC PastSince Jun 1, 2020 Accepting new patients
Miracles Healing Centers Inc PastSince Feb 1, 2010 Accepting new patients

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1699178806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABUCKI",
        "first_name": "BRANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.