Active NPI
Linda Brown, NBCC, LPC
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1124484100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1718
- Practice address
- 1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079 - Phone
- (601) 573-7574
- NPI assigned
- Jan 6, 2016
- 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 | 1718 | MS | Primary |
Addresses
Primary practice location
1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Mailing address
893 Way Rd
Canton, MS 39046-9330
Phone (601) 573-7574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09056741 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1718 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1124484100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 WAY RD",
"city": "CANTON",
"state": "MS",
"postal_code": "390469330",
"telephone_number": "601-573-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HIGHLAND COLONY PKWY STE 5203",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572079",
"telephone_number": "601-573-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LINDA",
"credential": "NBCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09056741",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Client data",
"address_1": "1000 Highland Colony Pkwy Ste 5203",
"city": "Ridgeland",
"state": "MS",
"country_code": "US",
"postal_code": "391572079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.