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ANDREA BROGDON LPC-A
NPI 1588525612
Counselor - Mental Health in Wylie, TX

Active since November 19, 2025PECOS Enrolled
2300 W FM 544, WYLIE, TX 75098(214) 675-0421 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Brogdon Lpc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BROGDON LPC-A (NPI 1588525612) is an individual mental health provider in Wylie, Texas, licensed in Texas (94899) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588525612
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA BROGDONCredential: LPC-A
Location Address2300 W FM 544Wylie, TX 75098-4931
Mailing Address223 ColgateForney, TX 75126-4017 · (214) 675-0421
Phone(214) 675-0421
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1588525612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 94899
2300 W FM 544, Wylie, TX 75098
Open in Google Maps ↗

Other Names 1

Professional Name (2)Andrea Lea Jacobs Lpc-a

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Brogdon Lpc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517451529
PECOS Enrollment IDI20251208002947
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Brogdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mud Hook Mental Health PLLC
4.7 mi
Mental Health
650 BEEBALM LN STE 240
Garland, TX 75040
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ellie Mental Health Of Wylie - Royse City PLLC
  • 3 clinicians in this Medicare group
NPI 1225739196 (214) 501-3148

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY CALEB WILLIS
Marriage & Family Therapist
2300 W FM 544
WYLIE, TX 75098
Collin County (214) 497-6411
VALERIA VAZQUEZ
Speech-Language Pathologist
2300 W FM 544
WYLIE, TX 75098
Collin County (972) 454-9309
WMDC PARTNERS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2300 W FM 544, SUITE 150
WYLIE, TX 75098
Collin County (214) 736-2700
PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Podiatrist
2300 W FM 544, SUITE 230
WYLIE, TX 75098
Collin County (972) 288-7441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Brogdon's NPI number?

The NPI number for Andrea Brogdon is 1588525612. It was assigned to this individual provider in the NPPES registry on November 19, 2025. The provider is also known as Andrea Lea Jacobs Lpc-A.

Where is Andrea Brogdon located?

Andrea Brogdon practices at 2300 W Fm 544, Wylie, TX 75098. The listed phone number is (214) 675-0421.

What is Andrea Brogdon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Brogdon enrolled in Medicare?

Yes. Andrea Brogdon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Brogdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Brogdon reassigns Medicare benefits to Mud Hook Mental Health PLLC (Garland, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Brogdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Brogdon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.