Active NPI
Tricia Kay Brown, PH.D.
- Professional Counselor
- Kirksville, MO
National Provider Identifier
1164577813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2000169030
- Practice address
- 105 Pfeiffer Ave
Kirksville, MO 63501-5047 - Phone
- (660) 665-4612
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2000169030 | MO | Primary |
Addresses
Primary practice location
105 Pfeiffer Ave
Kirksville, MO 63501-5047
Mailing address
105 Pfeiffer Ave
Kirksville, MO 63501-5047
Phone (660) 665-4612
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000169030 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164577813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PFEIFFER AVE",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635015047",
"telephone_number": "660-665-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PFEIFFER AVE",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635015047",
"telephone_number": "660-665-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TRICIA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2000169030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.