Active NPI
Brooke Petty
- Mental Health Counselor
- Livingston, TX
National Provider Identifier
1699550491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 92296
- Practice address
- 101 Rainbow Dr
PMB 4696
Livingston, TX 77399-9301 - Phone
- (214) 449-0388
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 92296 | TX | Primary |
Addresses
Primary practice location
101 Rainbow Dr
PMB 4696
Livingston, TX 77399-9301
Mailing address
101 Rainbow Dr
PMB 4696
Livingston, TX 77399-9301
Phone (214) 449-0388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92296 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1699550491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RAINBOW DR",
"address_2": "PMB 4696",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773999301",
"telephone_number": "214-449-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RAINBOW DR",
"address_2": "PMB 4696",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773999301",
"telephone_number": "214-449-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "92296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.