Stacey Lynn Brown

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21531 Issued in AZ

Practice address

13123 W Gelding Cir
Surprise, AZ 85379-6401

Phone

(602) 468-2077

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1003584061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 W GELDING CIR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 W GELDING CIR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796401",
            "telephone_number": "602-468-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Brown
• Carolyn Jane Brown, M.D.
• Marissa Brown, D.M.D.
• Nicolette Brown
• Pauline Crystal Brown, MA, BCBA, LBA
• Tawana Brown
• Jacob William Bruce
• Charlotte Brunson, LPC
• Matthew Nicholas Bryant, PT
• Nicole Bryant

• Mental Health Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.