Active NPI
Teri Brinick Fusilier, L.P.C.
- Professional Counselor
- Flower Mound, TX
National Provider Identifier
1770651358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16801
- Practice address
- 2301 Olympia Dr
Suite 100
Flower Mound, TX 75028-1844 - Phone
- (214) 755-7802
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16801 | TX | Primary |
Addresses
Primary practice location
2301 Olympia Dr
Suite 100
Flower Mound, TX 75028-1844
Mailing address
7448 Love Cir
Fort Worth, TX 76135-4329
Phone (214) 755-7802
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 |
|---|---|---|---|
| 16801 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1770651358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7448 LOVE CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761354329",
"telephone_number": "214-755-7802",
"fax_number": "817-237-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 OLYMPIA DR",
"address_2": "SUITE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281844",
"telephone_number": "214-755-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSILIER",
"first_name": "TERI",
"middle_name": "BRINICK",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.