Individual provider Active NPI

Heather Benbrook, LPC

  • Counselor
  • Alvin, TX
National Provider Identifier
1740982289
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
85735 Issued in TX
Practice address
105 N Gordon St Ste 202
Alvin, TX 77511-2373
Phone
(281) 389-1676
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 85735 TX Primary
Professional Counselor 101YP2500X 85735 TX

Addresses

Primary practice location

105 N Gordon St Ste 202
Alvin, TX 77511-2373

Mailing address

105 N Gordon St Ste 202
Alvin, TX 77511-2373
Phone (281) 585-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424002803 TX Practitioner - Mental Health Counselor 4880161009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 N Gordon St
Suite 202
Alvin, TX 77511-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85735TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Benbrook Counseling, PLLC Professional Current Accepting new patients

Locations

105 N Gordon St
Ste 202
Alvin, TX 77511
Phone (346) 774-1774

Organizations & group practices 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1740982289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N GORDON ST STE 202",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112373",
            "telephone_number": "281-585-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GORDON ST STE 202",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112373",
            "telephone_number": "281-389-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBROOK",
        "first_name": "HEATHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "85735",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.