Individual provider Active NPI

Larry Neal Brown, LPC, LMFT

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1225236607
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0251 Issued in MS
Practice address
199 Charmant PL
Suite 2
Ridgeland, MS 39157-4358
Phone
(601) 605-4084
Fax
(601) 605-4085
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0251 MS Primary
Marriage & Family Therapist 106H00000X 97-0011 MS

Addresses

Primary practice location

199 Charmant PL
Suite 2
Ridgeland, MS 39157-4358

Mailing address

402 Fairgreen CV
Canton, MS 39046-8542
Phone (601) 853-0608

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

State licenses

LicenseStateTypeSpecialty
0251MSMDProfessional Counselor
97-0011MSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1225236607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 FAIRGREEN CV",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468542",
            "telephone_number": "601-853-0608",
            "fax_number": "601-605-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHARMANT PL",
            "address_2": "SUITE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574358",
            "telephone_number": "601-605-4084",
            "fax_number": "601-605-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARRY",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0251",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "97-0011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.