Individual provider Active NPI

Deborah Brown, MS LAC CBIS

  • Mental Health Counselor
  • Berlin, NJ
National Provider Identifier
1114368420
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00132400 Issued in NJ
Practice address
128 Cross Keys Rd
Berlin, NJ 08009-9201
Phone
(856) 210-1500
NPI assigned
Jul 15, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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 37AC00132400 NJ Primary

Addresses

Primary practice location

128 Cross Keys Rd
Berlin, NJ 08009-9201

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240705002515 NJ Practitioner - Mental Health Counselor 0244774842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brownstone Center for Wellness LLCGroup PAC ID 6709320302, 7 clinicians

Practice addresses (Care Compare)

331 Tilton Rd
Suite 28
Northfield, NJ 08225-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37AC00132400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstone Center for Wellness, LLC CurrentSince May 22, 2024 Accepting new patients
A Better Tomorrow Counseling Services CurrentSince Aug 11, 2024 Accepting new patients

Locations

900 12th St
Ste A3
Hammonton, NJ 08037
Phone (609) 833-1644

331 Tilton Rd
Ste 21
Northfield, NJ 08225

331 Tilton Rd
Ste 28
Northfield, NJ 08225
Phone (609) 646-1270

901 Route 168
Ste 103
Turnersville, NJ 08012
Phone (856) 266-4983

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1114368420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-267-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CROSS KEYS RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099201",
            "telephone_number": "856-210-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "MS LAC CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00132400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.