Individual provider Active NPI

Anntana Michelle Brown, LGPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1013672997
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC12350 Issued in MD
Practice address
19913 Ashfield CT
Hagerstown, MD 21742-6712
Phone
(240) 707-8361
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC12350 MD Primary

Addresses

Primary practice location

19913 Ashfield CT
Hagerstown, MD 21742-6712

Mailing address

19913 Ashfield CT
Hagerstown, MD 21742-6712
Phone (240) 707-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240207000525 MD Practitioner - Mental Health Counselor 5890138804 Reassigns benefits to 2 organizations
I20241122000363 DC Practitioner - Mental Health Counselor 5890138804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Wellness and Recovery, LLC CurrentSince Oct 24, 2024 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Sep 10, 2024 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

43 Summit Ave
Hagerstown, MD 21740

11125 Rockville Pike
Ste 302
Rockville, MD 20852
Phone (301) 770-5300

11125 Rockville Pike
Ste 306
Rockville, MD 20852
Phone (240) 240-4225

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1013672997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19913 ASHFIELD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426712",
            "telephone_number": "240-707-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19913 ASHFIELD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426712",
            "telephone_number": "240-707-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANNTANA",
        "middle_name": "MICHELLE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.