Individual provider Active NPI

Gwendolyn Lee Brehm, M.ED., LPC, LMFT

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1770864589
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8983 Issued in TX
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

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3117TXMDMental Health Counselor
8983TXMDMental 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.

Verify at the official NPI Registry.