Active NPI
Kelli A. Brown, LPCA
- Professional Counselor
- Mt Sterling, KY
National Provider Identifier
1174709166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1101
- Practice address
- 300 Foxglove Dr
Mt Sterling, KY 40353-9769 - Phone
- (859) 498-2135
- Fax
- (859) 498-7547
- NPI assigned
- Jan 21, 2008
- 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 | 1101 | KY | Primary |
Addresses
Primary practice location
300 Foxglove Dr
Mt Sterling, KY 40353-9769
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000557316 | Other | ANTHEM BCBS (NON PAR) | |
| 30610026 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1174709166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FOXGLOVE DR",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403539769",
"telephone_number": "859-498-2135",
"fax_number": "859-498-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KELLI",
"middle_name": "A.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS (NON PAR)",
"identifier": "000000557316",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.