Individual provider Active NPI

Sherry Jeannine Brown

  • Art Therapist
  • Stone Ridge, VA
National Provider Identifier
1194366187
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
24600 Millstream Dr Ste 340
Stone Ridge, VA 20105-5686
Phone
(703) 327-0335
NPI assigned
Oct 1, 2019
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Art Therapist 221700000X Primary

Addresses

Primary practice location

24600 Millstream Dr Ste 340
Stone Ridge, VA 20105-5686

Mailing address

13955 Mansarde Ave Apt 309
Herndon, VA 20171-6365
Phone (267) 601-1945

Other practice location 1

1031 Sterling Rd Ste 203
Herndon, VA 20170-3873
Phone (703) 466-5150 ext. 812

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

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1194366187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 MANSARDE AVE APT 309",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716365",
            "telephone_number": "267-601-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR STE 340",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055686",
            "telephone_number": "703-327-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Sterling Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201703873",
            "country_code": "US",
            "telephone_number": "703-466-5150 x812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHERRY",
        "middle_name": "JEANNINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.