Katrina Shaunay Brown Harrell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-18784 Issued in AZ

Practice address

14240 N 43Rd Ave
Glendale, AZ 85306-4511

Phone

(602) 866-8850

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wholeness 2 Peace Care Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1780207357

  Professional

  Medicare reassignment NPD Authorized official
• Wholeness 2 Peace Care Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1225984800
  NPD Authorized official
• Crossroads, Inc Pure Heart Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glendale, AZ
  • NPI 1245886415
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1215590906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2968",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853802968",
            "telephone_number": "480-202-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064511",
            "telephone_number": "602-866-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN HARRELL",
        "first_name": "KATRINA",
        "middle_name": "SHAUNAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-16356",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lyn Brooks
• Theresa Brooks, LPC
• Charlene Jean Broom, ND
• Barbara Browder, PMHNP-MSN-RN
• Brown Behavioral Health Services
• Alexandra Brown
• Chelsea Brown
• Holly Brown, LIAC
• Kiconya Brown, LPN
• Lakota L. Brown

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.