Individual provider Active NPI

Deron Louis Brown, M.S., LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1205165685
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001091A Issued in IN
Practice address
3935 Eagle Creek Pkwy
Indianapolis, IN 46254-5616
Phone
(317) 293-5563
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001091A IN Primary

Addresses

Primary practice location

3935 Eagle Creek Pkwy
Indianapolis, IN 46254-5616

Mailing address

7335 N County Road 830 E
Butlerville, IN 47223-9015
Phone (317) 697-3683

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 Science

State licenses

LicenseStateTypeSpecialty
39001091AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Creek Counseling Services, Inc. Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1205165685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 N COUNTY ROAD 830 E",
            "city": "BUTLERVILLE",
            "state": "IN",
            "postal_code": "472239015",
            "telephone_number": "317-697-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 EAGLE CREEK PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545616",
            "telephone_number": "317-293-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DERON",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001091A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.