Individual provider Active NPI

Bronson C McKinney, LPC, LCDC

  • Mental Health Counselor
  • Sherman, TX
National Provider Identifier
1780458604
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88572 Issued in TX
Practice address
315 W McLain Dr
Sherman, TX 75092-2605
Phone
(903) 957-4701
Fax
(903) 957-3416
NPI assigned
Nov 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88572 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 16133 TX
Mental Health Counselor 101YM0800X 88572 TX Primary

Addresses

Primary practice location

315 W McLain Dr
Sherman, TX 75092-2605

Mailing address

315 W McLain Dr
Sherman, TX 75092-2605
Phone (903) 957-4869

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
I20231212000176 TX Practitioner - Mental Health Counselor 7517316953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16133TXMDAddiction (Substance Use Disorder) Counselor
88572TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Community Center Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Texas Health Virtual Care Current Accepting new patients
Texas Health Virtual Care CurrentSince Nov 1, 2025 Accepting new patients

Locations

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

315 W McLain Dr
Sherman, TX 75092
Phone (903) 957-4701

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1780458604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MCLAIN DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922605",
            "telephone_number": "903-957-4869",
            "fax_number": "903-957-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MCLAIN DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922605",
            "telephone_number": "903-957-4701",
            "fax_number": "903-957-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "BRONSON",
        "middle_name": "C",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88572",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16133",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.