Courtney Monet Brown, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801106411 Issued in MI

Practice address

29623 Northwestern Hwy Ste 6
Southfield, MI 48034-1076

Phone

(313) 932-5527

Fax

(313) 731-1991

NPI assigned

Oct 24, 2022

Reactivated

Feb 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revived Mind Counseling Services

  • Social Worker
  • Okemos, MI
  • NPI 1083323570
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1003533811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 MARFITT RD APT 17",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236308",
            "telephone_number": "313-623-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29623 NORTHWESTERN HWY STE 6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341076",
            "telephone_number": "313-932-5527",
            "fax_number": "313-731-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COURTNEY",
        "middle_name": "MONET",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-02-06",
        "certification_date": "2022-11-21",
        "deactivation_date": "2022-11-21",
        "reactivation_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801106411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL/ BEHAVIOR HEALTH",
            "identifier": "6801106411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Brown
• Amanda B Brown, PA-C
• Angela Brown
• Brittany Brown
• Carla Danita Brown, LMSW, CSW
• Daphine Ann Brown, M.D.
• Delmeda Brown
• Devyne Brown
• Elizabeth Anne Brown, MSW
• Emily Rose Brown, LLBSW, QIDP, QMHP

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.