Individual provider Active NPI

Lynnell Brown, LADC

  • Addiction (Substance Use Disorder) Counselor
  • East Hartford, CT
National Provider Identifier
1053904466
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001366 Issued in CT
Practice address
50 Hillside St Apt A3
East Hartford, CT 06108-3630
Phone
(860) 997-0851
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 001366 CT Primary

Addresses

Primary practice location

50 Hillside St Apt A3
East Hartford, CT 06108-3630

Mailing address

50 Hillside St Apt A3
East Hartford, CT 06108-3630
Phone (860) 997-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230330000944 CT Practitioner - Clinical Social Worker 2365816535 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001366CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut Single Specialty CurrentSince May 30, 2025 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
State of Connecticut CurrentSince May 30, 2025 Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (844) 437-7924

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Interoperability endpoints

  • Direct secure messaging: lynnell.brown.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 3

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1053904466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HILLSIDE ST APT A3",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083630",
            "telephone_number": "860-997-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLSIDE ST APT A3",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083630",
            "telephone_number": "860-997-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LYNNELL",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.