Individual provider Active NPI

Anthony Brister

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1902287311
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7460 Golden Pond PL Ste 100
Amarillo, TX 79121-1956
Phone
(806) 379-8282
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 73847 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

7460 Golden Pond PL Ste 100
Amarillo, TX 79121-1956

Mailing address

7460 Golden Pond PL Ste 100
Amarillo, TX 79121-1956
Phone (806) 379-8282

Other practice location 1

4014 N 22nd St
McAllen, TX 78504-4101
Phone (956) 507-0377

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
73847TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Saenz Therapeutic Care PLLC Professional PastSince Mar 22, 2012 Accepting new patients
Troy Timmons, P.a. Professional PastSince Aug 6, 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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1902287311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 GOLDEN POND PL STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211956",
            "telephone_number": "806-379-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 GOLDEN POND PL STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211956",
            "telephone_number": "806-379-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785044101",
            "country_code": "US",
            "telephone_number": "956-507-0377",
            "fax_number": "956-507-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTER",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "73847",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.