Organization Active NPI

Brooke Martin LPC PLLC

  • Community/Behavioral Health Agency
  • Bryan, TX
National Provider Identifier
1972970531
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
67067 Issued in TX
Legal business name
BROOKE MARTIN LPC PLLC
Practice address
3201 University Dr E
Suite 200
Bryan, TX 77802-3475
Phone
(979) 229-4203
Fax
(844) 388-6134
NPI assigned
Aug 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Authorized official

Name
Brooke Martin
Title
Licensed Professional Counselor
Phone
(979) 571-6648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 67067 TX Primary

Addresses

Primary practice location

3201 University Dr E
Suite 200
Bryan, TX 77802-3475

Mailing address

3201 University Dr E
Suite 200
Bryan, TX 77802-3475
Phone (979) 229-4203

Other identifiers 1

IdentifierTypeStateIssuer
1598106221MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1972970531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-229-4203",
            "fax_number": "844-388-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-229-4203",
            "fax_number": "844-388-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE MARTIN LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "979-571-6648"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "67067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598106221",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; 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.