Active NPI
Deanna Brown, LMFT-ASSOCIATE
- Professional Counselor
- Wylie, TX
National Provider Identifier
1083479851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 204852
- Practice address
- 2300 W FM 544 Ste 245
Wylie, TX 75098-4931 - Phone
- (214) 307-9546
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 204852 | TX | Primary |
Addresses
Primary practice location
2300 W FM 544 Ste 245
Wylie, TX 75098-4931
Mailing address
7002 Parkwood Dr
Sachse, TX 75048-1915
Phone (901) 481-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 W FM
544 Suite 245
Wylie, TX 75098-4931
Phone (214) 307-9546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204852 | TX | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mud Hook Mental Health PLLC | Current | Accepting new patients |
Locations
2300 W FM 544
Ste 245
Wylie, TX 75098
Phone (214) 307-9546
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.
-
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- Garland, TX
- NPI 1225739196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1083479851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 PARKWOOD DR",
"city": "SACHSE",
"state": "TX",
"postal_code": "750481915",
"telephone_number": "901-481-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W FM 544 STE 245",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984931",
"telephone_number": "214-307-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEANNA",
"credential": "LMFT-ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "204852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.