Kimberly Ann Brown, MA,LPC,CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401005661 Issued in MI

Practice address

507 S Nelson St
Greenville, MI 48838-2197

Phone

(616) 754-9420

Fax

(616) 754-9419

NPI assigned

Sep 28, 2006

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1144312356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 S GARLOCK RD",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119563",
            "telephone_number": "989-584-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S NELSON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382197",
            "telephone_number": "616-754-9420",
            "fax_number": "616-754-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MA,LPC,CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Bice
• Melissa Boland
• Kristen Brinker
• Krystle Brodbeck
• Ada M Brosier, LMSW
• Ruth Ann Bruce, D.O.
• BS Compassionate Care,LLC
• Shayna Michele Budres, D.P.T.
• Bradley Burns, D.O.
• Emma Jaye Burns

• Professional Counselor in Greenville, MI
• Providers in Greenville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.