Individual provider Active NPI

Sherron Ittia Brown, LCPC

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1063158764
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15088 Issued in MD
Practice address
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone
(410) 893-4600
Fax
(410) 589-0999
NPI assigned
May 6, 2022
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP12611 MD
Professional Counselor 101YP2500X LC15088 MD Primary

Addresses

Primary practice location

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485

Mailing address

170 W Claiborne Rd Apt 202
North East, MD 21901-3384
Phone (443) 388-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240617003291 MD Practitioner - Mental Health Counselor 1759824816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel Markus LCSW C LLCGroup PAC ID 8022550045, 4 clinicians

Practice addresses (Care Compare)

4500 Black Rock Rd
Suite 103
Hampstead, MD 21074-2649
Phone (877) 806-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP12611MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Markus LCSW C LLC CurrentSince Apr 29, 2024 Accepting new patients
Safe Harbor Community Services CurrentSince Jun 1, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone 4108934600 ext. 223

4500 Black Rock Rd
Ste 103
Hampstead, MD 21074
Phone (443) 528-6819

Organizations & group practices 2

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1063158764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W CLAIBORNE RD APT 202",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013384",
            "telephone_number": "443-388-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD STE 300",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-893-4600",
            "fax_number": "410-589-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHERRON",
        "middle_name": "ITTIA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP12611",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.