Teresa A Brown, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002032265 Issued in MO

Practice address

1201 Bellevue Ave
Saint Louis, MO 63117-1701

Phone

(314) 960-7871

NPI assigned

Nov 30, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1023310869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SUNNYSIDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192648",
            "telephone_number": "314-960-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BELLEVUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171701",
            "telephone_number": "314-960-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002032265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498327709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sundra Shaffer Brown, MSW
• Susanne Maria Brown, CTRS
• Suzanne U Brown, CRNA
• Tanya Brown, PT, DPT, NCS, GCS
• Taylor Brown, MD
• Tiffany Brown
• Tiffany Lakesha Brown
• Tiffany Loriece Brown
• Torri Marie Brown
• Tracy Lynette Brown, BEHAVIOR SUPPORT TEC

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.