Individual provider Active NPI

Heather Elise Brinich-Langlois, LCSW

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1972723328
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
53987 Issued in TX
Practice address
4603 Midnight Woods St
San Antonio, TX 78249-1817
Phone
(210) 800-1711
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 53987 TX Primary

Addresses

Primary practice location

4603 Midnight Woods St
San Antonio, TX 78249-1817

Mailing address

4603 Midnight Woods St
San Antonio, TX 78249-1817
Phone (210) 800-1711

Other identifiers 1

IdentifierTypeStateIssuer
DA4442MedicaidAK

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
53987TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Social Services, Inc. Past Accepting new patients
Avalon Social Services Inc Past 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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1972723328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 MIDNIGHT WOODS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491817",
            "telephone_number": "210-800-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 MIDNIGHT WOODS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491817",
            "telephone_number": "210-800-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINICH-LANGLOIS",
        "first_name": "HEATHER",
        "middle_name": "ELISE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "53987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA4442",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.