Individual provider Active NPI

Deanna Sharon Brown, LMFTA, CDPT

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1043731136
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MG60897185 Issued in WA
Practice address
102 23Rd Ave SE Ste a
Puyallup, WA 98372-4501
Phone
(253) 987-5561
NPI assigned
Jun 29, 2017
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60670084 WA
Mental Health Counselor 101YM0800X MG60897185 WA Primary

Addresses

Primary practice location

102 23Rd Ave SE Ste a
Puyallup, WA 98372-4501

Mailing address

102 23Rd Ave SE Ste a
Puyallup, WA 98372-4501
Phone (253) 987-5561

Other names 1

  • Deanna Sharon Lams Former name

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
I20240508000543 WA Practitioner - Mental Health Counselor 3072953215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60670084WAMDAddiction (Substance Use Disorder) Counselor
MG60897185WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thoughtful Counseling Group Mental Health PastSince Dec 21, 2021 Accepting new patients

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1043731136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 23RD AVE SE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724501",
            "telephone_number": "253-987-5561",
            "fax_number": "253-697-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 23RD AVE SE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724501",
            "telephone_number": "253-987-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEANNA",
        "middle_name": "SHARON",
        "credential": "LMFTA, CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60670084",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG60897185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "LAMS",
            "middle_name": "SHARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.