Individual provider Active NPI

Brenda Bagherpour

  • Clinical Social Worker
  • Denton, TX
National Provider Identifier
1912638412
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53901 Issued in TX
Practice address
1812 Linden Dr
Denton, TX 76201-2564
Phone
(940) 765-5530
Fax
(206) 401-7843
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 53901 TX Primary

Addresses

Primary practice location

1812 Linden Dr
Denton, TX 76201-2564

Mailing address

PO Box 1350
Forney, TX 75126-1350
Phone (940) 252-4101

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
I20220725002238 TX Practitioner - Clinical Social Worker 3274914098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Reflections, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2505 W University Dr
Unit 1010
Denton, TX 76201
Phone (940) 765-5530

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1912638412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261350",
            "telephone_number": "940-252-4101",
            "fax_number": "206-401-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 LINDEN DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012564",
            "telephone_number": "940-765-5530",
            "fax_number": "206-401-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERPOUR",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.