Individual provider Active NPI

Princess Brownfield, USAV, CLC, CHC, CCHW

  • Health & Wellness Coach
  • Washington, DC
National Provider Identifier
1164190351
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
06212021 Issued in DC
Practice address
1331 4TH St SE Apt 339
Washington, DC 20003-4470
Phone
(202) 600-5265
NPI assigned
Sep 1, 2021
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 20180709 VA
Contractor 171W00000X NU
Community Health Worker 172V00000X 09042020 MD
Community/Behavioral Health Agency 251S00000X DC
Health Educator 174H00000X NU
Peer Specialist 175T00000X NU
Health & Wellness Coach 171400000X DC
Health & Wellness Coach 171400000X 06212021 DC Primary
Prevention Professional 405300000X 163704 MO

Addresses

Primary practice location

1331 4TH St SE Apt 339
Washington, DC 20003-4470

Mailing address

1331 4TH St SE Apt 339
Washington, DC 20003-4470
Phone (202) 718-8743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elevate@crownelevateprijectllc.com 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

LicenseStateTypeSpecialty
20180709VAMDAddiction (Substance Use Disorder) Counselor
06212021DCMDHealth & Wellness Coach
09042020MDMDCommunity Health Worker
163704MOMDPrevention Professional

Interoperability endpoints

  • Direct secure messaging: elevate@crownelevateprijectllc.com

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1164190351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 4TH ST SE APT 339",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034470",
            "telephone_number": "202-718-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 4TH ST SE APT 339",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034470",
            "telephone_number": "202-600-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNFIELD",
        "first_name": "PRINCESS",
        "name_prefix": "Ms.",
        "credential": "USAV, CLC, CHC, CCHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "20180709",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "09042020",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "DC",
            "license": "06212021",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MO",
            "license": "163704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elevate@crownelevateprijectllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1331 4th St SE Apt 339",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200034470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.