EAST TEXAS PSYCHIATRY AND COUNSELING PLLC
NPI 1962201855
Clinical Nurse Specialist - Psychiatric/Mental Health in Tyler, TX

Q: What is East Texas Psychiatry And Counseling PLLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Active since March 12, 2025

100 INDEPENDENCE PL STE 307, TYLER, TX 75703(430) 288-5800(800) 797-3780 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2025, Jun 23, 2025, Mar 12, 2025 (3 updates tracked since 2025).

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About East Texas Psychiatry And Counseling Pllc NPPES

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

EAST TEXAS PSYCHIATRY AND COUNSELING PLLC (NPI 1962201855) is a healthcare organization registered as a psychiatric/mental health in Tyler, Texas and active in the NPI registry since March 2025. The organization lists Antonio Lejaun Brigham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962201855

Entity TypeOrganization

Primary Taxonomy364SP0808X

Legal Business NameEAST TEXAS PSYCHIATRY AND COUNSELING PLLC

Location Address100 INDEPENDENCE PL STE 307Tyler, TX 75703-1328

Mailing Address100 Independence Pl Ste 307Tyler, TX 75703-1328 · (430) 288-5800 · Fax (800) 797-3780

Phone(430) 288-5800

Fax(800) 797-3780

Organization SubpartNo

Authorized OfficialAntonio Lejaun BrighamCfo · (430) 288-5800

Enumeration DateMarch 12, 2025

Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration

NPPES CertifiedJuly 22, 2025

✔ NPI 1962201855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

100 INDEPENDENCE PL STE 307, Tyler, TX 75703

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Psychiatry And Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to East Texas Psychiatry And Counseling PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Mikel Josh Aviso, APRN, PMHNP-BC

Nurse Practitioner

NPI 1699637611

100 INDEPENDENCE PL
Tyler, TX 75703

(430) 288-5800

✔ PECOSSame address

James Baughman, PMHNP-BC

Nurse Practitioner

NPI 1932861580

100 INDEPENDENCE PL STE 307
Tyler, TX 75703

(430) 288-5800

✔ PECOS✔ Accepts MedicareSame address

Antonio Brigham, NP

Nurse Practitioner

NPI 1801492889

100 INDEPENDENCE PL STE 307
Tyler, TX 75703

(430) 288-5800

✔ PECOS✔ Accepts MedicareSame address

Karen English, PMHNP

Nurse Practitioner

NPI 1699533315

100 INDEPENDENCE PL STE 307
Tyler, TX 75703

(403) 288-5800

✔ PECOS✔ Accepts MedicareSame address

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

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 East Texas Psychiatry And Counseling PLLC's NPI number?

The NPI number for East Texas Psychiatry And Counseling PLLC is 1962201855. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is East Texas Psychiatry And Counseling PLLC located?

East Texas Psychiatry And Counseling PLLC is located at 100 Independence Pl Ste 307, Tyler, TX 75703. The listed phone number is (430) 288-5800.

What is East Texas Psychiatry And Counseling PLLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is East Texas Psychiatry And Counseling PLLC enrolled in Medicare?

Yes. East Texas Psychiatry And Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Psychiatry And Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to East Texas Psychiatry And Counseling PLLC. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Texas Psychiatry And Counseling PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list East Texas Psychiatry And Counseling PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Psychiatry And Counseling PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.