Organization Active NPI

Brazos Professional Counseling PLLC

  • Mental Health Counselor
  • Whitney, TX
National Provider Identifier
1982142568
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAZOS PROFESSIONAL COUNSELING PLLC
Practice address
1220 N Brazos St Ste 4a
Whitney, TX 76692-2050
Phone
(254) 221-0299
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Vicki Brunk
Title
Office Manager
Phone
(254) 221-0299

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X

Addresses

Primary practice location

1220 N Brazos St Ste 4a
Whitney, TX 76692-2050

Mailing address

1220 N Brazos St Ste 4a
Whitney, TX 76692-2050
Phone (254) 221-0299

National Provider Directory

National Provider Directory

Locations

1220 N Brazos St
Ste 4A
Whitney, TX 76692
Phone (254) 205-1705

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1982142568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N BRAZOS ST STE 4A",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922050",
            "telephone_number": "254-221-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N BRAZOS ST STE 4A",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922050",
            "telephone_number": "254-221-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS PROFESSIONAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-221-0299"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.