Brazos Community Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRAZOS COMMUNITY COUNSELING PLLC

Practice address

4500 Carter Creek Pkwy Ste 106
Bryan, TX 77802-4464

Phone

(979) 227-3121

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina M Walters, LPCNPI 1942834577

Title

President

Phone

(979) 227-3121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Walters, MA, LPC

  • Professional Counselor
  • Bryan, TX
  • NPI 1942834577
  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1811734189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CARTER CREEK PKWY STE 106",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CARTER CREEK PKWY STE 106",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024464",
            "telephone_number": "979-227-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS COMMUNITY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-227-3121",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Brandon, M.D.
• Mark H Brauer, M.D.
• Brazos Anesthesiology Associates (Anesthesiology Associates)
• Brazos Anesthesiology Associates, P.a. (Anesthesiology Associates)
• Brazos Bariatrics, PLLC
• Brazos County
• Brazos Family Practice Associates
• Brazos Hypertension and Kidney Care PLLC
• Brazos Lung Association, L.L.P.
• Brazos Maternal and Child Health Clinic, Inc. (The Prenatal Clinic)

• Professional Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.