Active NPI
Teresa Joyce Brown, MS, LP
- Counseling Psychologist
- Staples, MN
National Provider Identifier
1225170004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP3307
- Practice address
- 616 4TH St NE
Staples, MN 56479-2273 - Phone
- (218) 894-1002
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP3307 | MN | Primary |
Addresses
Primary practice location
616 4TH St NE
Staples, MN 56479-2273
Mailing address
19727 140TH St
Verndale, MN 56481-2025
Phone (218) 639-5877
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP3307 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Mental Health Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Little Falls, MN
- NPI 1013904051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225170004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19727 140TH ST",
"city": "VERNDALE",
"state": "MN",
"postal_code": "564812025",
"telephone_number": "218-639-5877",
"fax_number": "218-894-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 4TH ST NE",
"city": "STAPLES",
"state": "MN",
"postal_code": "564792273",
"telephone_number": "218-894-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TERESA",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "MS, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP3307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staples, MN
- Alesandra Jean Boily, P.A.-C
- Brainerd Medical Center Inc. (Essentia Health Staples Pharmacy)
- Neil Alexander Bratney, MD
- Peter Joseph Brenny, DDS
- Corrina M Brown, MA, NCC, LPCC, LAMFT
- Melissa Ann Buss, PMHNP-BC
- Michael Todd Carey, DPT
- Ryan Scott Carey, D.P.T.
- Paige Marie Carlson, MD
- Jonathan Hal Claussen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.