Active NPI
Sharonda Teniah Brown, MA, NCC, LPC
- Professional Counselor
- St Louis, MO
National Provider Identifier
1205114345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009035749
- Practice address
- 9 Pebble CT
St Louis, MO 63102 - Phone
- (312) 882-0862
- NPI assigned
- Jul 22, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009035749 | MO | Primary |
Addresses
Primary practice location
9 Pebble CT
St Louis, MO 63102
Mailing address
9 Pebble CT
Edwardsville, IL 62025-3995
Phone (312) 882-0862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00237075 | Other | MO | DVN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240412003924 | MO | Practitioner - Mental Health Counselor | 6709225550 | Practice locations: Saint Louis, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1205114345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PEBBLE CT",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253995",
"telephone_number": "312-882-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PEBBLE CT",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63102",
"telephone_number": "312-882-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHARONDA",
"middle_name": "TENIAH",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009035749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DVN",
"identifier": "00237075",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.