Sharita Brown
Individual provider Active NPI Counselor · Madison Heights, MI
NPI 1124455217 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1124455217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1400 E 12 Mile Rd
Madison Heights, MI 48071-2651 - Phone
- (248) 658-1116
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Mailing address
1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
NPI Registry JSON
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1124455217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712651",
"telephone_number": "248-658-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHARITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
- Brighter Wins ABA of Mi LLC
- Amanda Briskey
- Benjamin A Brod
- Hailey Marie Brooks
- Jordan Brown
- Kristen Grace Bryer
- Linda Bubenko
- Helena Bulka
- Rana Raad Burek
- Bradford Wayne Burgess
All providers in Madison Heights, MI · Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.