Active NPI
Branden D. Peters
- Professional Counselor
- Houston, TX
National Provider Identifier
1962636803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62669
- Practice address
- 9100 Southwest Fwy
Suite 100
Houston, TX 77074-1519 - Phone
- (713) 457-4372
- Fax
- (713) 457-0945
- NPI assigned
- May 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62669 | TX | Primary |
Addresses
Primary practice location
9100 Southwest Fwy
Suite 100
Houston, TX 77074-1519
Mailing address
1800 Bering
Suite 940
Houston, TX 77057
Phone (281) 921-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62669 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62669 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- brandonpeters@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1962636803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BERING",
"address_2": "SUITE 940",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "281-921-1818",
"fax_number": "281-921-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741519",
"telephone_number": "713-457-4372",
"fax_number": "713-457-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "BRANDEN",
"middle_name": "D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62669",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.