Individual provider Active NPI

Brandi Lee Tyler, LPC

  • Professional Counselor
  • Weatherford, TX
National Provider Identifier
1942808498
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79536 Issued in TX
Practice address
106 Austin Ave Ste 207
Weatherford, TX 76086-3381
Phone
(817) 597-8114
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79536 TX Primary

Addresses

Primary practice location

106 Austin Ave Ste 207
Weatherford, TX 76086-3381

Mailing address

106 Austin Ave Ste 207
Weatherford, TX 76086-3381
Phone (817) 597-8114

Other names 1

  • Brandi Lee Dunn Former name

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
79536TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Counseling & Wellness CurrentSince Oct 13, 2024 Accepting new patients

Locations

106 Austin Ave
Ste 207
Weatherford, TX 76086
Phone (817) 304-5572

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1942808498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 AUSTIN AVE STE 207",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863381",
            "telephone_number": "817-597-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AUSTIN AVE STE 207",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863381",
            "telephone_number": "817-597-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "DUNN",
            "middle_name": "LEE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.