Active NPI
East Texas Psychiatry and Counseling PLLC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Tyler, TX
National Provider Identifier
1962201855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- EAST TEXAS PSYCHIATRY AND COUNSELING PLLC
- Practice address
- 100 Independence PL Ste 307
Tyler, TX 75703-1328 - Phone
- (430) 288-5800
- Fax
- (800) 797-3780
- NPI assigned
- Mar 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Lejaun Brigham
- Title
- Cfo
- Phone
- (430) 288-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | Primary |
Addresses
Primary practice location
100 Independence PL Ste 307
Tyler, TX 75703-1328
Mailing address
100 Independence PL Ste 307
Tyler, TX 75703-1328
Phone (430) 288-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Independence Pl
Ste 307
Tyler, TX 75703
Phone (214) 326-8795
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tyler, TX
- NPI 1801492889
-
- Psychiatric/Mental Health Nurse Practitioner
- Tyler, TX
- NPI 1932861580
-
- Psychiatric/Mental Health Nurse Practitioner
- Tyler, TX
- NPI 1699533315
-
- Psychiatric/Mental Health Nurse Practitioner
- Tyler, TX
- NPI 1699637611
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1962201855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE PL STE 307",
"city": "TYLER",
"state": "TX",
"postal_code": "757031328",
"telephone_number": "430-288-5800",
"fax_number": "800-797-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE PL STE 307",
"city": "TYLER",
"state": "TX",
"postal_code": "757031328",
"telephone_number": "430-288-5800",
"fax_number": "800-797-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS PSYCHIATRY AND COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "BRIGHAM",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "LEJAUN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "430-288-5800"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- East Texas Omfs Trauma Consultants, PLLC
- East Texas Pediatric Rehabilitation Associates Inc
- East Texas Physician Assistant Services
- East Texas Podiatry Associates, P.C.
- East Texas Priority Medical Transportation LLC
- East Texas Radiation Oncology, PA
- East Texas Spine Institute, PA
- East Texas Therapy and Rehab
- East Texas Vascular Associates, P.a.
- Eastwood Care & Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.