Individual provider Active NPI

Eric William Brown, LCPC, LADC

  • Mental Health Counselor
  • Raymond, ME
National Provider Identifier
1144586710
Registry record updated Apr 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC3609 Issued in ME
Practice address
33 Twin Pines Rd
Raymond, ME 04071-6740
Phone
(207) 899-5601
NPI assigned
Apr 8, 2012
Last updated
Apr 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC3721 ME
Mental Health Counselor 101YM0800X CC3609 ME Primary

Addresses

Primary practice location

33 Twin Pines Rd
Raymond, ME 04071-6740

Mailing address

288 Park Rd
Westbrook, ME 04092-3142
Phone (207) 899-5601

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

LicenseStateTypeSpecialty
LC3721MEMDAddiction (Substance Use Disorder) Counselor
CC3609MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333843200000",
    "number": "1144586710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PARK RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923142",
            "telephone_number": "207-899-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TWIN PINES RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716740",
            "telephone_number": "207-899-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCPC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-08",
        "last_updated": "2012-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3721",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.