Individual provider Active NPI

Tashai T Gilman-Brown

  • Mental Health Counselor
  • Powder Springs, GA
National Provider Identifier
1043822489
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC014518 Issued in GA
Practice address
3723 Gardenwick Rd
Powder Springs, GA 30127-5668
Phone
(561) 914-2707
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014518 GA
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X LPC014518 GA Primary

Addresses

Primary practice location

3723 Gardenwick Rd
Powder Springs, GA 30127-5668

Mailing address

PO Box 452
Powder Springs, GA 30127-0452
Phone (561) 914-2707

Other names 1

  • Tashai T Gilman-Brown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241213000136 GA Practitioner - Mental Health Counselor 5092241026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC014518GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Nov 21, 2024 Accepting new patients

Locations

25 Whitlock Pl SW
Ste 101
Marietta, GA 30064
Phone (404) 439-9981

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1043822489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270452",
            "telephone_number": "561-914-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 GARDENWICK RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275668",
            "telephone_number": "561-914-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN-BROWN",
        "first_name": "TASHAI",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014518",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHAI",
            "last_name": "GILMAN-BROWN",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.