Organization Active NPI

Paulette Brown Counseling, Inc

  • Community/Behavioral Health Agency
  • Youngstown, OH
National Provider Identifier
1194315788
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAULETTE BROWN COUNSELING, INC
Doing business as
PAULETTE BROWN COUNSELING, INC
Practice address
219 Beachwood Dr
Youngstown, OH 44505-4284
Phone
(330) 559-1288
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Ms. Paulette S Brown, LISW-SNPI 1821408915
Title
Ceo
Phone
(330) 559-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

219 Beachwood Dr
Youngstown, OH 44505-4284

Mailing address

219 Beachwood Dr
Youngstown, OH 44505-4284
Phone (330) 559-1288

Other practice location 1

2111 Belmont Ave Ste 5
Youngstown, OH 44505-2428
Phone (330) 744-2468

Other names 1

  • PAULETTE BROWN COUNSELING, INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118002072 OH Part B Supplier - Clinic/Group Practice 3971992660 Receives reassigned benefits from 1 practitioner
Practice locations: Youngstown, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1194315788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BEACHWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054284",
            "telephone_number": "330-559-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BEACHWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054284",
            "telephone_number": "330-559-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Belmont Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052428",
            "country_code": "US",
            "telephone_number": "330-744-2468",
            "fax_number": "330-744-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAULETTE BROWN COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-559-1288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULETTE BROWN COUNSELING, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.