Individual provider Active NPI

Brenda Joy Wilbanks, ED.D, LPC, LMFT

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1992813489
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9592 Issued in TX
Practice address
22 Briercroft Office Park Ste 10
Lubbock, TX 79412-3007
Phone
(806) 767-9007
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9592 TX Primary

Addresses

Primary practice location

22 Briercroft Office Park Ste 10
Lubbock, TX 79412-3007

Mailing address

22 Briercroft Office Park Ste 10
Lubbock, TX 79412-3007
Phone (806) 767-9007

Other identifiers 1

IdentifierTypeStateIssuer
025861801MedicaidTX

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
9592TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1992813489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRIERCROFT OFFICE PARK STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123007",
            "telephone_number": "806-767-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRIERCROFT OFFICE PARK STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123007",
            "telephone_number": "806-767-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "BRENDA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "ED.D, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025861801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.