NPIMap

Organization Active NPI

Modern Mental Health

  • Community/Behavioral Health Agency
  • Fredericktown, MO
National Provider Identifier
1215577945
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MODERN MENTAL HEALTH
Practice address
151 South Main Street
Suite B
Fredericktown, MO 63645
Phone
(573) 222-0096
Fax
(573) 240-8433
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Mrs. Alyssa Jene' Brown, LPCNPI 1982240305
Title
Founder/Counselor
Phone
(573) 222-0096

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

151 South Main Street
Suite B
Fredericktown, MO 63645

Mailing address

151 South Main Street
Suite B
Fredericktown, MO 63645
Phone (573) 222-0096

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alyssabrown@mmhtherapy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1215577945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTH MAIN STREET",
            "address_2": "SUITE B",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "63645",
            "telephone_number": "573-222-0096",
            "fax_number": "573-240-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SOUTH MAIN STREET",
            "address_2": "SUITE B",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "63645",
            "telephone_number": "573-222-0096",
            "fax_number": "573-240-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "JENE'",
        "authorized_official_title_or_position": "FOUNDER/COUNSELOR",
        "authorized_official_telephone_number": "573-222-0096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssabrown@mmhtherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "151 South Main Street",
            "address_2": "Suite B",
            "city": "Fredericktown",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.