Active NPI
Larry Neal Brown, LPC, LMFT
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1225236607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0251 | MS | MD | Professional Counselor |
| 97-0011 | MS | MD | Marriage & 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.