Individual provider Active NPI

Marceline A Brown, CMHC

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1164174470
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4909110-6004 Issued in UT
Practice address
649 E Williamsburg Park Cir
Sandy, UT 84070-0538
Phone
(801) 510-6529
NPI assigned
Jan 19, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4909110-6004 UT Primary

Addresses

Primary practice location

649 E Williamsburg Park Cir
Sandy, UT 84070-0538

Mailing address

649 E Williamsburg Park Cir
Sandy, UT 84070-0538
Phone (801) 510-6529

Other names 1

  • Marceline Anglin-Brown Former name

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
4909110-6004UTMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: marceline.brown.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1164174470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 E WILLIAMSBURG PARK CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700538",
            "telephone_number": "801-510-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 E WILLIAMSBURG PARK CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700538",
            "telephone_number": "801-510-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARCELINE",
        "middle_name": "A",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "4909110-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELINE",
            "last_name": "ANGLIN-BROWN",
            "credential": "CMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.