Active NPI
Gwendolyn Lee Brehm, M.ED., LPC, LMFT
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1770864589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8983
- Practice address
- 17300 El Camino Real
Suite 107D
Houston, TX 77058-2715 - Phone
- (832) 741-0266
- Fax
- (281) 486-8575
- NPI assigned
- Sep 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8983 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 3117 | TX |
Addresses
Primary practice location
17300 El Camino Real
Suite 107D
Houston, TX 77058-2715
Mailing address
17300 El Camino Real
Suite 107D
Houston, TX 77058-2715
Phone (832) 741-0266
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3117 | TX | MD | Mental Health Counselor |
| 8983 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1770864589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17300 EL CAMINO REAL",
"address_2": "SUITE 107D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582715",
"telephone_number": "832-741-0266",
"fax_number": "281-486-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 EL CAMINO REAL",
"address_2": "SUITE 107D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582715",
"telephone_number": "832-741-0266",
"fax_number": "281-486-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREHM",
"first_name": "GWENDOLYN",
"middle_name": "LEE",
"credential": "M.ED., LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "8983",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "3117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.