Active NPI
Lula Mae Brown, LMHC
- Mental Health Counselor
- Clovis, NM
National Provider Identifier
1013352400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0154001
- Practice address
- Matt 25 1200 North Thornton Street
Clovis, NM 88101 - Phone
- (575) 763-4400
- NPI assigned
- Apr 30, 2013
- Last updated
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0154001 | NM | Primary |
Addresses
Primary practice location
Matt 25 1200 North Thornton Street
Clovis, NM 88101
Mailing address
Matt 25 1200 North Thornton Street
Clovis, NM 88101
Phone (575) 763-4400
Other names 1
- Mrs. Lula Mae Brown
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0154001 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt 25 Inc. | Past | Accepting new patients |
Networks
- NM HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1013352400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MATT 25 1200 NORTH THORNTON STREET",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-763-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MATT 25 1200 NORTH THORNTON STREET",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-763-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LULA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0154001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LULA",
"last_name": "BROWN",
"middle_name": "MAE",
"prefix": "MRS.",
"credential": "NONE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.