Individual provider Active NPI

Monique Brown, MA, LMHCA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1023363785
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60264759 Issued in WA
Practice address
3417 Fremont Ave N Ste 225
Seattle, WA 98103-3411
Phone
(206) 457-3092
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60264759 WA Primary

Addresses

Primary practice location

3417 Fremont Ave N Ste 225
Seattle, WA 98103-3411

Mailing address

2821 SW Adams St
Seattle, WA 98126-2517
Phone (206) 291-5324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150219001412 WA Practitioner - Clinical Psychologist 0840513024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3429 Fremont PL N
Suite 303
Seattle, WA 98103-8650
Phone (206) 457-3092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60264759WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monique Brown Psychological Services LLC CurrentSince Aug 18, 2014 Accepting new patients

Locations

3429 Fremont Pl N
Ste 303
Seattle, WA 98103
Phone (206) 457-3092

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1023363785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 SW ADAMS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262517",
            "telephone_number": "206-291-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 FREMONT AVE N STE 225",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033411",
            "telephone_number": "206-457-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MONIQUE",
        "credential": "MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60264759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.