Individual provider Active NPI

Christopher Brown, LMFT, CCLS

  • Marriage & Family Therapist
  • Roanoke, VA
National Provider Identifier
1154443604
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001496 Issued in VA
Practice address
5301 Williamson Rd Ste B
Roanoke, VA 24012-1449
Phone
(540) 744-2933
Fax
(540) 215-7339
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 48561 CA
Marriage & Family Therapist 106H00000X 0717001496 VA Primary
Marriage & Family Therapist 106H00000X CTB-2022-0177 NM

Addresses

Primary practice location

5301 Williamson Rd Ste B
Roanoke, VA 24012-1449

Mailing address

5301 Williamson Rd Ste B
Roanoke, VA 24012-1449
Phone (540) 744-2933

Other identifiers 1

IdentifierTypeStateIssuer
3001670117MedicaidVA

Other names 1

  • Chris Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240108000138 VA Practitioner - Other (Non-Physician) 7214388917 Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5301 Williamson Rd
Suite B
Roanoke, VA 24012-1449
Phone (540) 744-2933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 48561CAMDMarriage & Family Therapist
CTB-2022-0177NMMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1154443604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 WILLIAMSON RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121449",
            "telephone_number": "540-744-2933",
            "fax_number": "540-215-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WILLIAMSON RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121449",
            "telephone_number": "540-744-2933",
            "fax_number": "540-215-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTOPHER",
        "credential": "LMFT, CCLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48561",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001496",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001670117",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "BROWN",
            "credential": "LMFT, CCLS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.