Active NPI
Kathryn Joanne Brown, LMSW
- Addiction (Substance Use Disorder) Counselor
- South Lyon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6801096946
- Practice address
- 127 N Lafayette St
South Lyon, MI 48178-1210 - Phone
- (248) 573-7417
- NPI assigned
- Mar 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6801096946 | MI | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
127 N Lafayette St
South Lyon, MI 48178-1210
Mailing address
1370 N Oakland Blvd Ste 105
Waterford, MI 48327-1572
Phone (248) 396-7390
Other practice location 1
1370 N Oakland Blvd Ste 105
Waterford, MI 48327-1572
Phone (248) 666-8870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801096946 | Other | MI | STATE OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170131002733 | MI | Practitioner - Clinical Social Worker | 8426330291 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Antoinette Peterson, LLC
Practice addresses (Care Compare)
147 N Milford Rd
Suite 201
Highland, MI 48357-4500
Phone (248) 563-0587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyon Counseling Center | Current | Accepting new patients | |
| Antoinette Peterson,LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Mattioli Mental Health Clinic PLLC | Past | Accepting new patients |
Locations
10524 Grand River Rd
Ste 101
Brighton, MI 48116
Phone (248) 573-7417
400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582
147 N Milford Rd
Ste 201
Highland, MI 48357
Phone (248) 563-0587
127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
Mental Health, MI
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brighton, MI
- NPI 1407648959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1104286046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 N OAKLAND BLVD STE 105",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271572",
"telephone_number": "248-396-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781210",
"telephone_number": "248-573-7417"
}
],
"practiceLocations": [
{
"address_1": "1370 N Oakland Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "MI",
"postal_code": "483271572",
"country_code": "US",
"telephone_number": "248-666-8870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KATHRYN",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6801096946",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MI",
"identifier": "6801096946",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.