Individual provider Active NPI

Brenda A Marsden, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Ft Worth, TX
National Provider Identifier
1821634445
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13267 Issued in TX
Practice address
4801 Brentwood Stair Rd Ste 404
Ft Worth, TX 76103-1731
Phone
(817) 492-9383
Fax
(817) 492-9575
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13267 TX Primary
Counselor 101Y00000X 13267 TX

Addresses

Primary practice location

4801 Brentwood Stair Rd Ste 404
Ft Worth, TX 76103-1731

Mailing address

4801 Brentwood Stair Rd Ste 404
Ft Worth, TX 76103-1731
Phone (817) 492-9383

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

LicenseStateTypeSpecialty
13267TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Treatment Services, LLC PastSince Nov 24, 2019 Accepting new patients
Texas Treatment Services LLC PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1821634445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD STE 404",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761031731",
            "telephone_number": "817-492-9383",
            "fax_number": "817-492-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD STE 404",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761031731",
            "telephone_number": "817-492-9383",
            "fax_number": "817-492-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSDEN",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13267",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.