Individual provider Active NPI

Roxanna Brown, LMFT-A

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1073395505
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
204940 Issued in TX
Practice address
11824 Jollyville Rd Ste 103
Austin, TX 78759-2318
Phone
(512) 766-3510
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 204940 TX Primary

Addresses

Primary practice location

11824 Jollyville Rd Ste 103
Austin, TX 78759-2318

Mailing address

2214 Wheaton TRL
Cedar Park, TX 78613-1713
Phone (310) 766-0987

Other practice location 1

2214 Wheaton Trl
Cedar Park, TX 78613-1713
Phone (310) 766-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204940TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1073395505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 WHEATON TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131713",
            "telephone_number": "310-766-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 JOLLYVILLE RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592318",
            "telephone_number": "512-766-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2214 Wheaton Trl",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786131713",
            "country_code": "US",
            "telephone_number": "310-766-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROXANNA",
        "name_prefix": "Mrs.",
        "credential": "LMFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "204940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.