Active NPI
Colena Brown, MA, LPC
- Mental Health Counselor
- Fairburn, GA
National Provider Identifier
1164653754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC001181
- Practice address
- 7556 Rutgers Cir
Fairburn, GA 30213-5515 - Phone
- (702) 427-9368
- NPI assigned
- Jul 31, 2009
- Last updated
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC001181 | GA | Primary |
Addresses
Primary practice location
7556 Rutgers Cir
Fairburn, GA 30213-5515
Mailing address
7556 Rutgers Cir
Fairburn, GA 30213-5515
Phone (702) 427-9368
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC001181 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1164653754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7556 RUTGERS CIR",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302135515",
"telephone_number": "702-427-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7556 RUTGERS CIR",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302135515",
"telephone_number": "702-427-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "COLENA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC001181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.